Park, Kerry Max

Park, Kerry Max is an sole proprietor health care provider with primary practice located at 21 N 490 W , American Fork UT 84003-2264. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Park, Kerry Max can be contacted via phone (801) 592-7876.

Contact Information

Primary practice address
21 N 490 W American Fork UT 84003-2264
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 126677-3902 Utah

Profile Details

NPI number 1154592590
LBN Legal business name Park, Kerry Max
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2008
Last updated Feb 4th, 2016 - about 8 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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