Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN I PAK, MD
ActiveKEVIN I PAK, MD is a Sports Medicine (PM&R) healthcare provider located in JACKSON HEIGHTS, New York. NPI 1508922527 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · JACKSON HEIGHTS, NY
Registration Details
- NPI Number
- 1508922527
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 28, 2006 (19.674456160728 yrs)
- Last Updated
- Oct 9, 2025
- Licenses
-
MT184507 (PA)247616-B18 (NY)
Practice Information
- Address
-
7206 NORTHERN BLVD2ND FLOORJACKSON HEIGHTS, NY, 113721049Browse NY providers · Browse ZIP 11372
- Phone
- 8666706824
- Fax
- 1785331774
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
- Additional Specialty
- Sports Medicine (PM&R)
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.