location
search-icon
person
Daniel S Park, PA-C
Military Health Care Provider in Fort Knox, Kentucky
NPI 1225741952

Daniel S Park is a Military Health Care Provider based in Issaquah, KY. Daniel S Park practices in Fort Knox, KY and has the professional credentials of PA-C. The NPI Number for Daniel S Park is 1225741952 and holds a License No. (Kentucky).

The current practice location address for Daniel S Park is 200 Brule St Bldg 871, Fort Knox, KY and can be reached out via phone at 502-624-9333.

Location: 200 Brule St Bldg 871, Fort Knox, KY, 98029-7676
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225741952
Provider Name
Daniel S Park
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
200 Brule St Bldg 871, Fort Knox, KY, 98029-7676
Phone Number
502-624-9333
Fax Number
Provider Enumeration Date
12/27/2022
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1204605 01 NCCPA IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
200 Brule St Bldg 871
City
Fort Knox
State
Kentucky
Zip
40121-6100
Phone Number
502-624-9333
Fax Number
person
Provider Business Mailing Address Details
Address
200 Brule St Bldg 871
City
Fort Knox
State
Kentucky
Zip
40121-6100
Phone Number
502-624-9333
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
()
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.