Park, Kevin Warren

Park, Kevin Warren is an individual health care provider with primary practice located at 124 River Rd Kinship Center, Salinas CA 93908-9601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Park, Kevin Warren can be contacted via phone (831) 455-4770.

Contact Information

Primary practice address
124 River Rd Kinship Center Salinas CA 93908-9601
Phone: (831) 455-4770
Fax: (831) 455-4739
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X G65353 California

Profile Details

NPI number 1013045343
LBN Legal business name Park, Kevin Warren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013045343 NPPES
California Other G65363 STATE MEDICAL LICENSE

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