Individual
DR. KENNETH PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
486 LOWELL ST, LEXINGTON, MA 02420-2241
(617) 398-7297
Mailing address
486 LOWELL ST, LEXINGTON, MA 02420-2241
(617) 797-8764
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8300
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W06428
BCBS
MA
Enumeration date
06/08/2006
Last updated
07/11/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us