Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KATHRYN L PARK, MD
ActiveDR. KATHRYN L PARK, MD is a Vascular Surgery healthcare provider located in MISHAWAKA, Indiana. NPI 1548250186 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · MISHAWAKA, IN
Registration Details
- NPI Number
- 1548250186
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 25, 2005 (20.814786519193 yrs)
- Last Updated
- Nov 4, 2019
- Licenses
-
01055115A (IN)01055115A (IN)
Practice Information
- Address
-
301 E DAY RDMISHAWAKA, IN, 465453455Browse IN providers · Browse ZIP 46545
- Phone
- 5742379340
- Fax
- 5742391474
- Primary Specialty
-
Vascular Surgery
208VP0000X
- Additional Specialty
- Vascular Surgery
Other Vascular Surgery Providers in MISHAWAKA, IN
| Name | Credential | NPI |
|---|---|---|
| ABHISHEK DAS | M.D. | 1932488665 |
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.