NPI 1225741952

Daniel S Park, PAC

Practitioner Military Health Care Provider Fort Knox, KY

Practice location

Address: 200 Brule St Bldg 871, Fort Knox, KY 40121-6100
Phone: (502) 624-9333
Mailing address: 1166 NE Laurel CT, Issaquah, WA 98029-7676

Registered specialties (2)

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X

Other Military Health Care Provider providers in Kentucky →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1225741952
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Dec 2022
Record last updated: 27 Dec 2022

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.