Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. INN T PARK, M.D.
Active Sole ProprietorDR. INN T PARK, M.D. is a Emotionally Disturbed Children Residential Treatment healthcare provider located in NEVADA, Missouri. NPI 1588713853 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · NEVADA, MO
Registration Details
- NPI Number
- 1588713853
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 9, 2007 (19.639765585525 yrs)
- Last Updated
- Jul 8, 2007
- License
-
R2A60 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2323 N ASH STNEVADA, MO, 647721054Browse MO providers · Browse ZIP 64772
- Phone
- 4176677833
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
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.