Dr. John Kyun Park
Reproductive Endocrinologist
2601 Lake Dr Suite 301
Raleigh
, North Carolina 27607-6688
Dr. John Kyun Park
Reproductive Endocrinologist
2601 Lake Dr Suite 301
Raleigh
, North Carolina 27607-6688
(919) 782-5911
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About
Features
Specialties
- Reproductive Endocrinologist
Languages spoken
- English
Location
First Address
- Dr. John Kyun Park
- 2601 Lake Dr Suite 301
- Raleigh, NC
- Zip : 27607-6688
- Phone : (919) 782-5911
Second Address
- Dr. John Kyun Park
- 2601 Lake Dr Suite 301
- Raleigh, NC
- Zip : 27607-6688
- Phone : (919) 782-5911
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VE0102X | Reproductive Endocrinologist | 2008-00439 | NC |
National Provider Identifier
| NPI | 1063578961 |
|---|---|
| Provider Name | Dr. John Kyun Park |
| First Address | Raleigh, NC 27607-6688 |
| Second Address | Raleigh, NC 27607-6688 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/12/2006 |
| Last Update Date | 18/06/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D40813 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.