DR. KEVIN WARREN PARK M.D. NPI 1013045343

NPI Information

NPI: 1013045343
Provider Name: DR. KEVIN WARREN PARK, M.D.
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Address:
124 RIVER RD
KINSHIP CENTER
SALINAS, CA
ZIP 93908
Phone: (831) 455-4770
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DR. Kevin Warren Park, M.D. is a child and adolescent psychiatry psychiatry neurology in Salinas, CA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Kevin Warren Park, M.D. NPI is 1013045343. 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:

124 RIVER RD
KINSHIP CENTER
SALINAS, CA
ZIP 93908-601
Phone: (831) 455-4770
Fax: (831) 455-4739

The enumeration date for this NPI number is 2/28/2007 and was last updated on 8/29/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	G65353	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G65363	OTHER	CALIFORNIA	STATE MEDICAL LICENSE
2	F78785	MEDICARE UPIN	CALIFORNIA
3	BP0297499	OTHER	CALIFORNIA	DEA #

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: 11/14/2023

NPI Synchronization or Removal

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