Individual
MS. KATHLEEN MARIE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP MSN
Contact information
Practice address
1001 POTRERO AVE, BLDG 93, SAN FRANCISCO, CA 94110-3518
(415) 206-3967
(415) 206-6875
Mailing address
455 VALLEJO ST, #308, SAN FRANCISCO, CA 94133-4174
(415) 206-3967
(415) 206-6875
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
150256
CA
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
150256
CA
Other
Enumeration date
02/22/2007
Last updated
09/11/2025
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