Individual
KENNETH PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DACM
Contact information
Practice address
418 CHESTNUT ST, UNION, NJ 07083-9306
(201) 424-4263
Mailing address
418 CHESTNUT ST, UNION, NJ 07083-9306
(201) 424-4263
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
005964
NY
171100000X
Acupuncturist
Primary
25NZ00137300
NJ
Other
Enumeration date
01/25/2023
Last updated
02/26/2026
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