Park, Kathleen Marie

Park, Kathleen Marie is an individual health care provider with primary practice located at 1001 Potrero Ave Bldg 93, San Francisco CA 94110-3518. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Addiction (Substance Use Disorder). Nursing Service Providers / Registered Nurse is her primary health care specialty. Park, Kathleen Marie can be contacted via phone (415) 206-3967.

Contact Information

Primary practice address
1001 Potrero Ave Bldg 93 San Francisco CA 94110-3518
Phone: (415) 206-3967
Fax: (415) 206-6875
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 150256 California
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 150256 California

Profile Details

NPI number 1275668287
LBN Legal business name Park, Kathleen Marie
Credentials NP MSN
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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