Organization
IN KWON PARK MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IN KWON PARK (MD)
(253) 212-3637
Entity
Organization
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
Primary
—
—
207RI0200X
Infectious Disease Physician
—
—
Other
Enumeration date
07/16/2019
Last updated
07/26/2022
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