Park, Soon
Park, Soon is an individual health care provider with primary practice located at 85 N Grand Ave , Fort Thomas KY 41075-1793. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Park, Soon can be contacted via phone (513) 672-3309.Contact Information
Primary practice address
85 N Grand Ave
Fort Thomas KY 41075-1793
Phone: (513) 672-3309
Fax: (513) 672-3323
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 18823 | Kentucky |
Profile Details
| NPI number | 1104819135 |
|---|---|
| LBN Legal business name | Park, Soon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104819135 | NPPES |
| Kentucky | MEDICAID | 64188238 |
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