Park, Kevin U

Park, Kevin U is an individual health care provider with primary practice located at 1265 Highway 54 W Suites 102 And 308, Fayetteville GA 30214-4548. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Park, Kevin U can be contacted via phone (770) 460-1900.

Contact Information

Primary practice address
1265 Highway 54 W Suites 102 And 308 Fayetteville GA 30214-4548
Phone: (770) 460-1900
Fax: (770) 719-1214
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 074050 Georgia
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 74050 Georgia

Profile Details

NPI number 1356579627
LBN Legal business name Park, Kevin U
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2009
Last updated Aug 11th, 2022 - about 2 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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