Individual
DR. RALPH HAN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 ARKANSAS ST STE 202, LAWRENCE, KS 66044-1394
(785) 505-2200
(785) 505-5237
Mailing address
325 MAINE STREET, MSO LIBRARY, LAWRENCE, KS 66044-1394
(785) 505-2988
(785) 505-5228
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
04-28712
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067260
MEDICARE PTAN
KS
05
—
100421430A
—
KS
05
—
200252200A
—
OK
Enumeration date
05/30/2006
Last updated
04/23/2024
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