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Individual

DR. JINWOOK PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
401 E CHESTNUT ST UNIT 690, LOUISVILLE, KY 40202-5706
(502) 588-4710
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-4710

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.245872
OH
207R00000X
Internal Medicine Physician
57549
KY
207RN0300X
Nephrology Physician
Primary
57549
KY
207RN0300X
Nephrology Physician
MT224405
PA

Other

Enumeration date
07/04/2018
Last updated
10/31/2023
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