Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVIN CHANIL PARK, M.D.
ActiveDR. KEVIN CHANIL PARK, M.D. is a Internal Medicine healthcare provider located in SUN PRAIRIE, Wisconsin. NPI 1962437053 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · SUN PRAIRIE, WI
Registration Details
- NPI Number
- 1962437053
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2006 (20.090953926879 yrs)
- Last Updated
- Jul 16, 2025
- Licenses
-
154140 (MA)68021 (WI)
Practice Information
- Address
-
2161 WINDING STREAM WAYSUN PRAIRIE, WI, 535908868Browse WI providers · Browse ZIP 53590
- Phone
- 7029942958
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in SUN PRAIRIE, WI
| Name | Credential | NPI |
|---|---|---|
| KEITH E COOPER | DO | 1477505063 |
| MICHELE L NEWQUIST | MD | 1376598631 |
| GREGORY H MOTL | MD | 1548216013 |
| LEO A SCHUG | MD | 1053350520 |
| DR. BRUCE GORDON BARANSKI | M.D. | 1750323549 |
| JODI A.B. PUNKE | DO | 1225148471 |
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.