NPI 1053508200

Sangae Kim-Park, MD, PC

Organisation Family Medicine Physician Birmingham, AL

Practice location

Address: 52 Medical Park Dr E Suite 312, Birmingham, AL 35235-3430
Phone: (205) 702-6602
Fax: (205) 836-3190

Authorised official

Name: Chulwon Park
Title: Executive Director
Phone: (205) 702-6602

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 28332 (AL)

Other Family Medicine providers in Alabama →

Registry record

NPI: 1053508200
Entity type: Organization
NPI issued: 2 Oct 2007
Record last updated: 8 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.