Park, Kristen
Park, Kristen is an sole proprietor health care provider with primary practice located at 2404 Dana St Apt B, Berkeley CA 94704-2574. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Park, Kristen can be contacted via phone (408) 636-8431.Contact Information
Primary practice address
2404 Dana St Apt B
Berkeley CA 94704-2574
Phone: (408) 636-8431
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 236164 | California |
Profile Details
| NPI number | 1174981229 |
|---|---|
| LBN Legal business name | Park, Kristen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 3rd, 2016 |
| Last updated | May 8th, 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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