Individual
KYUNG WON PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
532 W PITTSBURGH ST, GREENSBURG, PA 15601-2239
(724) 832-4006
Mailing address
126 SAINT IVES DR, GREENSBURG, PA 15601-5851
(614) 572-6051
(220) 564-4217
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35.091612
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2868615
—
OH
Enumeration date
09/13/2006
Last updated
11/20/2021
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