Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FREDERICK KIM PARK, M.D.
ActiveFREDERICK KIM PARK, M.D. is a Plastic Surgery healthcare provider located in ROCKY MOUNT, North Carolina. NPI 1407964547 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · ROCKY MOUNT, NC
Registration Details
- NPI Number
- 1407964547
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 28, 2006 (19.99400062299 yrs)
- Last Updated
- Aug 11, 2025
- License
-
36793 (NC)
Practice Information
- Address
-
4008 CAPITAL DRIVEROCKY MOUNT, NC, 27804Browse NC providers · Browse ZIP 27804
- Phone
- 2529375003
- Fax
- 2529373020
- Primary Specialty
-
Plastic Surgery
208200000X
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.