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Kevin L Park, MD
Family Medicine Physician in Bryan, Ohio
NPI 1063441491

Kevin L Park is a Family Medicine Physician based in Fort Wayne, OH. Kevin L Park practices in Bryan, OH and has the professional credentials of MD. The NPI Number for Kevin L Park is 1063441491 and holds a License No. 35-055915 (Ohio).

The current practice location address for Kevin L Park is 442 W High St Ste 3, Bryan, OH and can be reached out via phone at 419-636-4517 and via fax at 419-636-6438.

Location: 442 W High St Ste 3, Bryan, OH, 46845-1701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063441491
Provider Name
Kevin L Park
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
442 W High St Ste 3, Bryan, OH, 46845-1701
Phone Number
419-636-4517
Fax Number
419-636-6438
Provider Enumeration Date
06/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
080059933 01 OH RAILROAD
0878386 05 OH
institution
Provider Business Practice Location Address Details
Address
442 W High St Ste 3
City
Bryan
State
Ohio
Zip
43506-1681
Phone Number
419-636-4517
Fax Number
419-636-6438
person
Provider Business Mailing Address Details
Address
442 W High St Ste 3
City
Bryan
State
Ohio
Zip
43506-1681
Phone Number
419-636-4517
Fax Number
419-636-6438
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
35-055915 (Ohio)
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 is not limited by age, sex, organ system, or disease entity.
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