Organization
HEALTH ACCESS NETWORK
Active
Other names
HAN Kimberlee Park, DO
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD PRECHTL (PRESIDENT)
(610) 338-8386
Entity
Organization
Contact information
Practice address
100 W SPROUL RD, SUITE 223, SPRINGFIELD, PA 19064-2033
(610) 328-2100
(610) 328-6933
Mailing address
2602 W 9TH ST, CHESTER, PA 19013-2040
(610) 497-7407
(610) 497-7487
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0858224034
IBC MHS GROUP
PA
01
—
7402843
AETNA EPDB GROUP
PA
01
—
827125
PABS GROUP AA
PA
Enumeration date
05/21/2007
Last updated
08/22/2020
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