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Kelly Park, DO
Obstetrics & Gynecology Physician in Antioch, California
NPI 1346536349

Kelly Park is a Obstetrics & Gynecology Physician based in Antioch, CA. Kelly Park practices in Antioch, CA and has the professional credentials of DO. The NPI Number for Kelly Park is 1346536349 and holds a License No. 25MB10893000 (California).

The current practice location address for Kelly Park is 4501 Sand Creek Rd, Antioch, CA and can be reached out via phone at 925-813-6500.

Location: 4501 Sand Creek Rd, Antioch, CA, 94531-8687
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346536349
Provider Name
Kelly Park
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
4501 Sand Creek Rd, Antioch, CA, 94531-8687
Phone Number
925-813-6500
Fax Number
Provider Enumeration Date
06/28/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4501 Sand Creek Rd
City
Antioch
State
California
Zip
94531-8687
Phone Number
925-813-6500
Fax Number
person
Provider Business Mailing Address Details
Address
4501 Sand Creek Rd
City
Antioch
State
California
Zip
94531-8687
Phone Number
925-813-6500
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
()
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
25MB10893000 (New Jersey)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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