Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
MR. DREW PARK
Active
Individual
MR. DREW PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT1319
KY
363A00000X
Physician Assistant
AT1319
NULL
363A00000X
Physician Assistant
Primary
PA2746
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100778720
—
KY
Enumeration date
12/22/2015
Last updated
04/08/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers