Kelly Park
NPI #1073486395 in Wallingford, Pennsylvania
Provider Information
- NPI Number
- 1073486395
- Entity Type
- Individual
- Name
- Kelly Park
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- Sep 24, 2025
- Last Updated
- Nov 19, 2025
Practice Location
- Address
- 115 S PROVIDENCE RD
- City
- Wallingford
- State
- Pennsylvania
- ZIP Code
- 19086-6333
- Phone
- (610) 565-3232
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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