Kevin L Park, MD

NPI #1063441491 in Bryan, Ohio

Provider Information

NPI Number: 1063441491
Entity Type: Individual
Name: Kevin L Park, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 30, 2006
Last Updated: Mar 29, 2023

Practice Location

Address: 442 W HIGH ST STE 3
City: Bryan
State: Ohio
ZIP Code: 43506-1681
Phone: (419) 636-4517

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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