Park, Young Ki

Park, Young Ki is an individual health care provider with primary practice located at 7979 N Shadeland Ave Ste 350 , Indianapolis IN 46250-2042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Park, Young Ki can be contacted via phone (317) 957-9510.

Contact Information

Primary practice address
7979 N Shadeland Ave Ste 350 Indianapolis IN 46250-2042
Phone: (317) 957-9510
Fax: (317) 957-9984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02001853A Indiana

Profile Details

NPI number 1447256417
LBN Legal business name Park, Young Ki
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Aug 25th, 2021 - about 5 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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