Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH PARK
ActiveMR. KENNETH PARK is a Clinical Social Worker healthcare provider located in SAN BERNARDINO, California. NPI 1255768974 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · SAN BERNARDINO, CA
Registration Details
- NPI Number
- 1255768974
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 27, 2013 (12.892193695168 yrs)
- Last Updated
- Feb 17, 2017
- License
-
68555 (CA)
Practice Information
- Address
-
2372 STERLING AVESAN BERNARDINO, CA, 924044624Browse CA providers · Browse ZIP 92404
- Phone
- 3104219405
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in SAN BERNARDINO, CA
| Name | Credential | NPI |
|---|---|---|
| MS. ANNETTE WEATHINGTON | LCSW | 1801813381 |
| CARMELLA JO RAMOS | LCSW | 1528177326 |
| MS. PAULA ANN QUIJANO | LCSW | 1578652459 |
| MS. CHERRLYNN MONEAKA HUBBARD | LCSW | 1649355769 |
| MS. DARLENA ALLEN | LCSW | 1396812434 |
| SHERRY LYNN NEHER | LCSW, MSW | 1790840148 |
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.