Dr. Kevin U Park
Orthopaedic Spine Surgeon
1265 Highway 54 W Suites 102 And 308
Fayetteville
, Georgia 30214-4548
Dr. Kevin U Park
Orthopaedic Spine Surgeon
1265 Highway 54 W Suites 102 And 308
Fayetteville
, Georgia 30214-4548
(770) 953-6972
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About
Features
Specialties
- Orthopaedic Spine Surgeon
Languages spoken
- English
Location
First Address
- Dr. Kevin U Park
- 900 Circle 75 Sepkwy 1700
- Atlanta, GA
- Zip : 30339-3087
- Fax : (770) 953-6972
- Phone : (770) 953-6929
Second Address
- Dr. Kevin U Park
- 1265 Highway 54 W Suites 102 And 308
- Fayetteville, GA
- Zip : 30214-4548
- Fax : (770) 719-1214
- Phone : (770) 460-1900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0117X | Orthopaedic Spine Surgeon | 074050 | GA |
National Provider Identifier
| NPI | 1356579627 |
|---|---|
| Provider Name | Dr. Kevin U Park |
| First Address | Atlanta, GA 30339-3087 |
| Second Address | Fayetteville, GA 30214-4548 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/06/2009 |
| Last Update Date | 03/08/2015 |
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.