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Organization
HEALTH ACCESS NETWORK
Active
Organization
HEALTH ACCESS NETWORK
Active
Other names
HAN Kimberlee Park, DO
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD PRECHTL (PRESIDENT)
(610) 338-8386
Entity
Organization
Contact information
Practice address
100 W SPROUL RD, SUITE 223, SPRINGFIELD, PA 19064-2033
(610) 328-2100
(610) 328-6933
Mailing address
2602 W 9TH ST, CHESTER, PA 19013-2040
(610) 497-7407
(610) 497-7487
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0858224034
IBC MHS GROUP
PA
01
—
7402843
AETNA EPDB GROUP
PA
01
—
827125
PABS GROUP AA
PA
Enumeration date
05/21/2007
Last updated
08/22/2020
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