Individual
KRISTIN A PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
17700 SE 272ND ST # 400, COVINGTON, WA 98042-4951
(253) 372-6512
(253) 372-6527
Mailing address
10863 SE 218TH PL, KENT, WA 98031-1373
(253) 307-9681
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
814227
NV
363LF0000X
Family Nurse Practitioner
AP60491879
WA
363LP0200X
Pediatric Nurse Practitioner
Primary
AP60491879
WA
Other
Enumeration date
09/22/2014
Last updated
02/21/2023
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