KEVIN L PARK

BRYAN, OH
NPI1063441491
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OH  35-055915)
Enumeration Date2006-06-30
Last Update Date2023-03-29
Business Address
KEVIN L PARK MD
442 W HIGH ST STE 3
BRYAN, OH 43506-1681
Phone number: 419-636-4517
Mailing Address
KEVIN L PARK MD
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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