Park, Kiersten

Park, Kiersten is an sole proprietor health care provider with primary practice located at 2621 Boxwood Dr , Wilmington DE 19810-1607. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Park, Kiersten can be contacted via phone (302) 290-4067.

Contact Information

Primary practice address
2621 Boxwood Dr Wilmington DE 19810-1607
Phone: (302) 290-4067
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Delaware
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Pennsylvania
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Nevada

Profile Details

NPI number 1124561840
LBN Legal business name Park, Kiersten
Credentials MS, LAT, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2016
Last updated May 5th, 2024 - about 2 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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