According to our database, the NPI number for MR. Kenneth Park is 1255768974 and activated since 10 years ago. MR. Kenneth Park is an individual provider who specializes in Clinical, and the primary practice location is 2372 Sterling Ave, San Bernardino, CA 92404. You can also contact MR. Kenneth Park via telephone number is (310) 421-9405. Provider NPI information was last updated on 02/17/2017.

Recently Active NPIs

Overview of MR. Kenneth Park

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 09/27/2013
  • Last updated: 02/17/2017

Primary Scrop of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 68555
  • License State: CA

Provider Mailing Address

  • Address: 2372 Sterling Ave
    San Bernardino, CA 92404
  • Phone: 310-421-9405
  • Fax:

Provider Practice Location

  • Address: 2372 Sterling Ave
    San Bernardino, CA 92404
  • Phone: 310-421-9405
  • Fax:

Scope of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 68555
  • License State: CA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: ASW #68555
  • Identifier Type: Other
  • Identifier State: CA
  • Issuer: BOARD OF BEHAVIORAL SCIENCES

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Kenneth Park?
  • A: The npi number for MR. Kenneth Park is 1255768974.
  • Q: What are MR. Kenneth Park's specialties?
  • A: MR. Kenneth Park's specialties are Clinical and different specialities.
  • Q: What is the medical license for MR. Kenneth Park?
  • A: The medical license number for MR. Kenneth Park is 68555 and issued in CA in USA.
  • Q: Where is MR. Kenneth Park practice location?
  • A: MR. Kenneth Park is practicing at 2372 Sterling Ave, San Bernardino, CA 92404.
  • Q: How to contact MR. Kenneth Park?
  • A: You can contact MR. Kenneth Park via 310-421-9405.