Parker Rose
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Liberal, MO
NPI 1205754207 · NPPES record last updated Jul 7, 2026
Key facts
- NPI
- 1205754207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 404 Slenker
Liberal, MO 64762-9110 - Phone
- (417) 214-6515
- NPI assigned
- Jul 7, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
404 Slenker
Liberal, MO 64762-9110
Mailing address
404 Slenker
Liberal, MO 64762-9110
Other providers in Liberal, MO
- Inez Shields LLC
- Robert R Jones
- Judy M Parton
- Carla Reed
- Regional Services
- School District R2 Liberal
All providers in Liberal, MO · Student in an Organized Health Care Education/Training Program in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.