Kenneth William Park in Cary - Family Medicine
Kenneth William Park - NPI 1114928801
Kenneth William Park is a Family Medicine in Cary, Illinois. Kenneth William Park practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kenneth William Park is 1114928801. The last update date is 2009-08-13.
Kenneth William Park's current location address is 125 Carlisle Ct, Cary, Illinois. You can contact this provider via phone number 8476391685. The mailing address for Kenneth William Park is 125 Carlisle Ct, Cary, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth William Park |
|---|---|
| Address | 125 Carlisle Ct, Cary, Illinois |
| Phone Number | 8476391685 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1114928801 |
|---|---|
| Provider Enumeration Date | 2005-08-03 |
| Last Updated Date | 2009-08-13 |
Provider Mailing Address Detail
| Address | 125 Carlisle Ct |
|---|---|
| City | Cary |
| State | Illinois (IL) |
| Post Code | 600131908 |
| Phone Number | 8476391685 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36055468 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the Kenneth William Park's 1114928801?
The Kenneth William Park's NPI (National Provider Identifier) Number is 1114928801. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kenneth William Park's facilities are situated?
The facilities of Kenneth William Park are physically located at the following address: 125 Carlisle Ct, Cary, IL, 600131908.
What is Kenneth William Park's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth William Park's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
When did Kenneth William Park receive its 1114928801 assignment?
The Kenneth William Park was assigned its 1114928801 on 2005-08-03, which is the date when this unique identifier was issued to the organization.
When was the information related to Kenneth William Park most recently updated or refreshed?
The details pertaining to the Kenneth William Park, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-08-13.