Individual
DR. KYE SOO PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 397-3370
(360) 604-1749
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 397-3370
(360) 604-1749
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2004-0437
NM
207RR0500X
Rheumatology Physician
Primary
MD60145123
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0262973
L & I
WA
05
—
1043359037
—
WA
Enumeration date
02/06/2007
Last updated
09/22/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us