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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

OLIVIA PARK, MD

Active

OLIVIA PARK, MD is a Physical Medicine & Rehabilitation healthcare provider located in KENOSHA, Wisconsin. NPI 1669761748 is currently active in the NPPES registry. Verify at CMS.

Physical Medicine & Rehabilitation · KENOSHA, WI

Registration Details

NPI Number
1669761748
Provider Type
Individual
Gender
Female
NPI Issued
Mar 29, 2011 (15.196418294796 yrs)
Last Updated
Dec 3, 2025
Licenses
01076676A (IN)
72450-20 (WI)
72450-20 (WI)

Practice Information

Address
6308 8TH AVE
KENOSHA, WI, 531435031
Browse WI providers · Browse ZIP 53143
Phone
2627710073
Primary Specialty
Physical Medicine & Rehabilitation
208100000X
Additional Specialty
Spinal Cord Injury Medicine

Other Physical Medicine & Rehabilitation Providers in KENOSHA, WI

Name Credential NPI
DR. GERALD JOSEPH NORA M.D. 1083980841
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.