Individual
KATELYN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 W BALTIMORE ST, BALTIMORE, MD 21201-1510
(703) 963-2874
Mailing address
300 W LOMBARD ST APT 413, BALTIMORE, MD 21201-2873
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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