Provider Demographics
NPI:1518618081
Name:PARRA, KALLI (PA-C)
Entity type:Individual
Prefix:MISS
First Name:KALLI
Middle Name:
Last Name:PARRA
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 DODGE ST STE 135
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52003-5214
Mailing Address - Country:US
Mailing Address - Phone:563-557-3935
Mailing Address - Fax:
Practice Address - Street 1:3500 DODGE ST STE 135
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52003-5214
Practice Address - Country:US
Practice Address - Phone:563-557-3935
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-15
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant