Individual
DR. KEVIN WARREN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
124 RIVER RD, KINSHIP CENTER, SALINAS, CA 93908-9601
(831) 455-4770
(831) 455-4739
Mailing address
124 RIVER RD, KINSHIP CENTER, SALINAS, CA 93908-9601
(831) 455-4770
(831) 455-4739
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
G65353
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G65363
STATE MEDICAL LICENSE
CA
Enumeration date
02/28/2007
Last updated
03/07/2023
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