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
Provider Name :Kathleen J Park
Credential :MD
Gender :Female
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
Phone Number :206-223-6600
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
NPI Entity Type : Individual
First Enrolment Date : 26 Jul, 2006
Last Updated On : 27 Jun, 2008
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 SpecialityPrimaryLicense No.State
2080A0000XPediatrics Adolescent MedicineYesMD00040435WA
Legacy Identifiers:
Other legacy medical identifiers of Kathleen J Park such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
9071PAOtherWAINDIVIDUAL BLUE SHIELD
US7466375OtherWAAETNA/USHC PIN
8321358MEDICAIDWA
0039577OtherWAL&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
Phone Number :206-515-5811
Fax Number :206-515-5886
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. Last updated on 08 January, 2024.