Ken H. Park is a Internal Medicine in Watkinsville, Georgia. Ken H. Park practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Ken H. Park is 1245214402. The last update date is 2019-07-19.
Ken H. Park's current location address is 1624 Mars Hill Rd, Watkinsville, Georgia. You can contact this provider via phone number 7063101030 and fax number 7067051444. The mailing address for Ken H. Park is 1624 Mars Hill Rd, Watkinsville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ken H. Park |
|---|---|
| Address | 1624 Mars Hill Rd, Watkinsville, Georgia |
| Phone Number | 7063101030 |
| Fax Number | 7067051444 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1245214402 |
|---|---|
| Provider Enumeration Date | 2005-12-01 |
| Last Updated Date | 2019-07-19 |
Provider Mailing Address Detail
| Address | 1624 Mars Hill Rd |
|---|---|
| City | Watkinsville |
| State | Georgia (GA) |
| Post Code | 306774813 |
| Phone Number | 7063101030 |
| Fax Number | 7067051444 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 50049 |
|
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00904197A | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Ken H. Park by the Centers for Medicare & Medicaid Services?
The Ken H. Park has been assigned the NPI (National Provider Identifier) 1245214402. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Ken H. Park?
The Ken H. Park is situated at 1624 Mars Hill Rd, in the city of Watkinsville, state of GA, with the zip code 306774813.
What is the Ken H. Park's area of specialization and corresponding taxonomy classification?
The Ken H. Park's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
When did the Ken H. Park receive its 1245214402?
The Ken H. Park was issued its 1245214402 on 2005-12-01, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Ken H. Park most recently updated or revised?
The details related to Ken H. Park, including its address, specialty, and other relevant information, were last updated or revised on 2019-07-19.