Park, Kristin A

Park, Kristin A is an individual health care provider with primary practice located at 17700 Se 272Nd St # 400 , Covington WA 98042-4951. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Park, Kristin A can be contacted via phone (253) 372-6512.

Contact Information

Primary practice address
17700 Se 272Nd St # 400 Covington WA 98042-4951
Phone: (253) 372-6512
Fax: (253) 372-6527
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 814227 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60491879 Washington
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP60491879 Washington

Profile Details

NPI number 1558763516
LBN Legal business name Park, Kristin A
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2014
Last updated Feb 21st, 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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