DR. KAITLIN PARK D.O. NPI 1255745634

NPI Information

NPI: 1255745634
Provider Name: DR. KAITLIN PARK, D.O.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
75 BARCLAY CIR STE 115
ROCHESTER HILLS, MI
ZIP 48307
Phone: (248) 856-6300
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DR. Kaitlin Park, D.O. is a pediatrics in Rochester Hills, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Kaitlin Park, D.O. NPI is 1255745634. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

75 BARCLAY CIR STE 115
ROCHESTER HILLS, MI
ZIP 48307-803
Phone: (248) 856-6300

The enumeration date for this NPI number is 6/13/2014 and was last updated on 3/16/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program		5101021070	MICHIGAN	No
2	208000000X	Pediatrics		5101021070	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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