Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JIN S PARK, MD
ActiveJIN S PARK, MD is a Hospice and Palliative Medicine healthcare provider located in KANSAS CITY, Missouri. NPI 1164400768 is currently active in the NPPES registry. Verify at CMS.
Hospice and Palliative Medicine · KANSAS CITY, MO
Registration Details
- NPI Number
- 1164400768
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 4, 2006 (20.638754931113 yrs)
- Last Updated
- Nov 18, 2025
- Licenses
-
0433150 (KS)2008015782 (MO)20080015782 (MO)194765 (NY)2008015782 (MO)
Practice Information
- Address
-
1000 CARONDELET DR STE 201BKANSAS CITY, MO, 64114Browse MO providers · Browse ZIP 64114
- Phone
- 9139562250
- Fax
- 9139562251
- Primary Specialty
-
Hospice and Palliative Medicine
207RI0011X
- Additional Specialty
- Cardiovascular Disease
- Additional Specialty
- Hospice and Palliative Medicine
- Additional Specialty
- Cardiovascular Disease
- Additional Specialty
- Internal Medicine
Other Hospice and Palliative Medicine Providers in KANSAS CITY, MO
| Name | Credential | NPI |
|---|---|---|
| DR. ZAFIR A HAWA | MD | 1235102302 |
| MICHAEL J SWEENEY | M.D. | 1437113941 |
| GERALD M MANCUSO | M.D. | 1427012574 |
| CRAIG H LUNDGREN | M.D. | 1508820655 |
| BARRY D RUTHERFORD | MD | 1396701066 |
| JAMES A GRANTHAM | MD | 1134185390 |
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.