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Dr. Kenneth J Park, DO
Obstetrics & Gynecology Physician in Redlands, California
NPI 1457643215

Kenneth J Park is a Obstetrics & Gynecology Physician based in Redlands, CA. Kenneth J Park practices in Redlands, CA and has the professional credentials of DO. The NPI Number for Kenneth J Park is 1457643215 and holds a License No. 14077 (California).

The current practice location address for Kenneth J Park is 2 W Fern Ave, Redlands, CA and can be reached out via phone at 909-793-3311 and via fax at 805-354-7102. You can also correspond with Kenneth J Park through the mailing address at 1615 ORANGE TREE LN, REDLANDS, CA - 92374-4501 (mailing address contact number: 909-786-0725).

Location: 2 W Fern Ave, Redlands, CA, 92374-4501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457643215
Provider Name
Kenneth J Park
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2 W Fern Ave, Redlands, CA, 92374-4501
Phone Number
909-793-3311
Fax Number
805-354-7102
Provider Enumeration Date
05/11/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CB243726 01 CA MEDICARE ID
institution
Provider Business Practice Location Address Details
Address
2 W Fern Ave
City
Redlands
State
California
Zip
92373
Phone Number
909-793-3311
Fax Number
805-354-7102
person
Provider Business Mailing Address Details
Address
2 W Fern Ave
City
Redlands
State
California
Zip
92373
Phone Number
909-793-3311
Fax Number
805-354-7102
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
14077 (California)
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.
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