Dr. Kyong Park, MD, MPH
Preventive Medicine, Public Health & General Preventive Medicine in Cambridge, Massachusetts
1427256635- Practice location
- 360 Binney St, Cambridge, MA 02142-1011
- Phone
- 571-353-0256
- Fax
- —
- Last updated
- October 25, 2020
Kyong Park is a Preventive Medicine, Public Health & General Preventive Medicine based in Cambridge, MA. Kyong Park practices in Cambridge, MA and has the professional credentials of MD, MPH. The NPI Number for Kyong Park is 1427256635 and holds a License No. R-8207 (IA). The current practice location address for Kyong Park is 360 Binney St, Cambridge, MA 02142-1011 and can be reached out via phone at 571-353-0256.
Provider Profile Details
- NPI Number
- 1427256635
- Provider Name
- Kyong Park
- Credential
- MD, MPH
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 360 Binney St, Cambridge, MA 02142-1011
- Phone Number
- 571-353-0256
- Primary Taxonomy
- Preventive Medicine, Public Health & General Preventive Medicine · 2083P0901X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 10, 2007
- Last Update Date
- October 25, 2020
- Certification Date
- October 25, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 360 Binney St
Cambridge, MA 02142-1011 - City
- Cambridge
- State
- Massachusetts
- Zip
- 02142-1011
- Phone Number
- 571-353-0256
Provider Business Mailing Address Details
- Address
- Po Box 514
Great Falls, VA 22066-0514 - City
- Great Falls
- State
- VA
- Zip
- 22066-0514
- Phone Number
- 518-285-0864
License Information
- License Number (1)
- R-8207
- License State (1)
- IA
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- 0101244536
- License State (2)
- VA
- Taxonomy (2)
- Preventive Medicine, Public Health & General Preventive Medicine · 2083P0901X · Primary
- License Number (3)
- 253655
- License State (3)
- NY
- Taxonomy (3)
- Preventive Medicine, Public Health & General Preventive Medicine · 2083P0901X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Kyong Park, MD, MPH?
The NPI number of Dr. Kyong Park, MD, MPH is 1427256635. It was assigned on July 10, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Kyong Park, MD, MPH?
Dr. Kyong Park, MD, MPH is registered under the primary taxonomy Preventive Medicine, Public Health & General Preventive Medicine (code 2083P0901X), licensed in IA under license number R-8207.
Where does Dr. Kyong Park, MD, MPH practice?
The practice location is 360 Binney St, Cambridge, MA 02142-1011. The office can be reached at 571-353-0256 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427256635 directly on the NPPES registry website.