DR. KENNETH PARK, D.O.
Family Medicine
Active
Individual
NPI: 1114928801
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 036055468 (IL) |
Frequently Asked Questions
NPI 1114928801 is the National Provider Identifier for DR. KENNETH PARK, D.O., a Family Medicine provider located in Cary, IL. This NPI was enumerated on August 3, 2005.
DR. KENNETH PARK, D.O. practices at 125 CARLISLE CT, Cary, IL 60013.
Quick Facts
- NPI
- 1114928801
- Type
- Individual
- Enumerated
- Aug 3, 2005
- Last Updated
- Aug 13, 2009
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