Individual
KELLIE ADRIENNE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
411 W TIPTON ST, ATTN: ANESTHESIA DEPT, SEYMOUR, IN 47274-2363
(812) 524-2738
Mailing address
411 W TIPTON ST, ATTN: ANESTHESIA DEPT, SEYMOUR, IN 47274-2363
(812) 524-2738
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01073835A
IN
Other
Enumeration date
06/19/2008
Last updated
01/21/2019
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