Individual
MR. BRIAN KEITH PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
477 WHITE POND DR, APT 421, AKRON, OH 44320-1121
(330) 414-6250
Mailing address
477 WHITE POND DR, APT 421, AKRON, OH 44320-1121
(330) 414-6250
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2457550
—
OH
Enumeration date
03/26/2007
Last updated
07/08/2007
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