Park, Peter H

Park, Peter H is an individual health care provider with primary practice located at 5701 W 119Th St Suite 430, Overland Park KS 66209-3721. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Park, Peter H can be contacted via phone (913) 253-3000.

Contact Information

Primary practice address
5701 W 119Th St Suite 430 Overland Park KS 66209-3721
Phone: (913) 253-3000
Fax: (913) 663-2980
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 2006013533 Missouri
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X T-00529 Kansas

Profile Details

NPI number 1750328860
LBN Legal business name Park, Peter H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jan 26th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750328860 NPPES
Kansas Other T-00529 KS LICENSE

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