Individual
IN KWON PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8730 S TACOMA WAY STE 104, LAKEWOOD, WA 98499-4521
(253) 212-3637
(253) 267-0153
Mailing address
8730 S TACOMA WAY STE 104, LAKEWOOD, WA 98499-4521
(253) 212-3637
(253) 267-0153
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
137595
DC
207R00000X
Internal Medicine Physician
Primary
MD60044488
WA
Other
Enumeration date
08/27/2008
Last updated
07/22/2022
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