Kathleen J Park
MD | Pediatric Adolescent Medicine | Female
Kathleen J Park, MD is a Seattle, Washington based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Kathleen J Park is
1100 9th Ave, Seattle, Washington - 98101-2756. She can be contacted on phone at
206-223-6600.
Kathleen J Park is a sole proprietor of her business.
NPI number (Unique professional ID) for Kathleen J Park is
1790709582 which was assigned by NPPES on 26 Jul, 2006 and it was last updated on 27 Jun, 2008.
Kathleen J Park license number is
MD00040435 for Pediatrics Adolescent Medicine (2080A0000X) in Washington.
Kathleen J Park specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Kathleen J Park basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Kathleen J Park |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Kathleen J Park address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1100 9th Ave
Seattle, WA, 98101-2756
United States |
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| Phone Number : | 206-223-6600 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1790709582 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 Jul, 2006 |
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| Last Updated On : | 27 Jun, 2008 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kathleen J Park are as mentioned. Primary taxonomy code for Kathleen J Park, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | MD00040435 | WA |
Legacy Identifiers:
Other legacy medical identifiers of Kathleen J Park such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 9071PA | Other | WA | INDIVIDUAL BLUE SHIELD |
| US7466375 | Other | WA | AETNA/USHC PIN |
| 8321358 | MEDICAID | WA | |
| 0039577 | Other | WA | L&I |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1100 9th Ave, Ms:m4-pa
Seattle, WA, 98101-2756
United States |
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| Phone Number : | 206-515-5811 |
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| Fax Number : | 206-515-5886 |
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Business Location:
Patients can refer following map for directions to
Kathleen J Park practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.