Individual ProviderKelsi ParkerDentistDental ProvidersPractice Address1701 Country Club Rd, Jacksonville, NC 28546-6005(910) 346-2345(919) 389-5090PECOS EnrollmentBased on the most recent information from CMS, provider Kelsi Parker does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1376237339Provider TypeIndividualFull NameParker, KelsiCredentialDDSGenderFemaleSole ProprietorNoEnumeration Date6/5/2023Last Updated6/5/2023Contact InformationPractice LocationPractice Address1701 Country Club Rd, Jacksonville, NC 28546-6005Phone(910) 346-2345FaxUnlisted FaxMailing LocationMailing Address201 Willas Ct, Holly Ridge, NC 28445-8006Phone(919) 389-5090FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense13294North Carolina