Individual
KACI PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 E 23RD ST STE 360, SIOUX FALLS, SD 57105-2140
(605) 322-3950
Mailing address
1000 E 23RD ST STE 360, SIOUX FALLS, SD 57105-2140
(605) 322-3950
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
03/21/2023
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