DR. Ken H. Park, M.D.

NPI #1245214402 in Watkinsville, Georgia

Provider Information

NPI Number: 1245214402
Entity Type: Individual
Name: DR. Ken H. Park, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Dec 1, 2005
Last Updated: Jul 19, 2019

Practice Location

Address: 1624 MARS HILL RD STE B
City: Watkinsville
State: Georgia
ZIP Code: 30677-4813
Phone: (706) 310-1030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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