Ken Jongho Park, M.D. is a nephrology internal medicine in Salem, OR with 20 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Ken Jongho Park, M.D. NPI is 1649436585. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year:2004
The provider's business location address is:
2400 LANCASTER DR NE
SALEM, OR
ZIP 97305-221
Phone: (503) 361-5400
The NPI 1649436585 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Dialysis services (2-3 physician visits per month), patient 20 years of age and older (HCPCS:90961)
The enumeration date for this NPI number is 7/30/2008 and was last updated on 2/4/2022.