Individual
KAMI LEE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12 W CHURCH ST, OXFORD, OH 45056-1257
(513) 523-4195
(513) 523-4353
Mailing address
12 W CHURCH ST, OXFORD, OH 45056-1257
(513) 523-4195
(513) 523-4353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35077072P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2198090
—
OH
Enumeration date
07/28/2006
Last updated
07/08/2007
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