Provider Demographics
NPI:1801535075
Name:DAILEY, PARKER LEE (NP-C)
Entity type:Individual
Prefix:
First Name:PARKER
Middle Name:LEE
Last Name:DAILEY
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6750 ANTIOCH RD STE 307
Mailing Address - Street 2:
Mailing Address - City:MERRIAM
Mailing Address - State:KS
Mailing Address - Zip Code:66204-1289
Mailing Address - Country:US
Mailing Address - Phone:913-980-4382
Mailing Address - Fax:
Practice Address - Street 1:11922 NOLAND ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-2376
Practice Address - Country:US
Practice Address - Phone:712-579-9646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-03
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS83-80042-021363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily