Kyung Soon Park is a Specialist in Clairton, Pennsylvania. Kyung Soon Park practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kyung Soon Park is 1568454049. The last update date is 2020-10-08.
Kyung Soon Park's current location address is 575 Coal Valley Road, Clairton, Pennsylvania. You can contact this provider via phone number 4124697900 and fax number 4124697919. The mailing address for Kyung Soon Park is 575 Coal Valley Road, Clairton, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kyung Soon Park |
|---|---|
| Address | 575 Coal Valley Road, Clairton, Pennsylvania |
| Phone Number | 4124697900 |
| Fax Number | 4124697919 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1568454049 |
|---|---|
| Provider Enumeration Date | 2005-08-19 |
| Last Updated Date | 2020-10-08 |
Provider Mailing Address Detail
| Address | 575 Coal Valley Road |
|---|---|
| City | Clairton |
| State | Pennsylvania (PA) |
| Post Code | 150253729 |
| Phone Number | 4124697900 |
| Fax Number | 4124697919 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MD067920L |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 17467910002 | PA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Kyung Soon Park by the Centers for Medicare & Medicaid Services?
The Kyung Soon Park has been issued the NPI (National Provider Identifier) 1568454049. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kyung Soon Park?
The Kyung Soon Park is situated at 575 Coal Valley Road, in the city of Clairton, state of PA, with the zip code 150253729.
What is Kyung Soon Park's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kyung Soon Park's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568454049 to Kyung Soon Park?
The Centers for Medicare & Medicaid Services originally issued the 1568454049 to Kyung Soon Park on 2005-08-19.
When was the Kyung Soon Park's information last updated?
The Kyung Soon Park's information was last updated on 2020-10-08.
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