Park, Kyong Bin

Park, Kyong Bin is an individual health care provider with primary practice located at 525 W Chester Pike Suite 102-B, Havertown PA 19083-4539. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Park, Kyong Bin can be contacted via phone (610) 853-9328.

Contact Information

Primary practice address
525 W Chester Pike Suite 102-B Havertown PA 19083-4539
Phone: (610) 853-9328
Fax: (610) 853-9336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD056941L Pennsylvania

Profile Details

NPI number 1023036134
LBN Legal business name Park, Kyong Bin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jul 8th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023036134 NPPES
Pennsylvania MEDICAID 001597486

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