| NPI | 1861595951 |
|---|---|
| Other Name | KENNETH PARK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC25780) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC7022) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-08 |