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MR. BRIAN KEITH PARK NPI 1811014467


NPI Information

NPI: 1811014467
Provider Name: MR. BRIAN KEITH PARK
Classification: Home Health Aide - 374U00000X
Entity Type: Individual
Address:
477 WHITE POND DR
APT 421
AKRON, OH
ZIP 44320
Phone: (330) 414-6250
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MR. Brian Keith Park is a home health aide in Akron, OH. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. MR. Brian Keith Park NPI is 1811014467. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

477 WHITE POND DR
APT 421
AKRON, OH
ZIP 44320-121
Phone: (330) 414-6250

The enumeration date for this NPI number is 3/26/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1374U00000XHome Health AideYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12457550MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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