Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SOON PARK, MD
ActiveSOON PARK, MD is a Anesthesiology healthcare provider located in FORT THOMAS, Kentucky. NPI 1104819135 is currently active in the NPPES registry. Verify at CMS.
Anesthesiology · FORT THOMAS, KY
Registration Details
- NPI Number
- 1104819135
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 24, 2005 (21.002082141628 yrs)
- Last Updated
- Jul 8, 2007
- License
-
18823 (KY)
Practice Information
- Address
-
85 N GRAND AVEFORT THOMAS, KY, 410751793Browse KY providers · Browse ZIP 41075
- Phone
- 5136723309
- Fax
- 5136723323
- Primary Specialty
-
Anesthesiology
207L00000X
Other Anesthesiology Providers in FORT THOMAS, KY
| Name | Credential | NPI |
|---|---|---|
| LYDIA CHANTILAS | MD | 1255324307 |
| ARTURO SIA | MD | 1477546547 |
| DAMIAN FRANCIS DOLAN | MD | 1609858612 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.