Kie Jung Park is a Kingston, Pennsylvania based psychiatrist who is specialized in Addiction Psychiatry. Active license number of Kie Jung Park is MD033477L for Psychiatry in Pennsylvania. His current practice location is 562 Wyoming Ave, Kingston. Patients can reach him at 570-552-3900 or can fax him at 570-552-3907. Kie Jung Park is MD in Addiction Psychiatry and his NPI number (Unique professional ID assigned by NPPES) is 1477596088. Kie Jung Park focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Complete Profile:
Kie Jung Park speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Kie Jung Park
Specialization:
Addiction Psychiatry
Gender:
Male
Credentials:
MD
Practice Address:
562 Wyoming Ave, Kingston, Pennsylvania, 18704
Phone:
570-552-3900
Fax:
570-552-3907
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1477596088
NPI Enumeration Date:
13 Jun, 2006
NPI Last Update On:
02 Oct, 2009
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kie Jung Park are as mentioned below.
License Number
Specialization
State
Status
MD033477L
Psychiatry
Pennsylvania
Primary
MD033477L
Addiction Psychiatry
Pennsylvania
Secondary
MD033477L
Geriatric
Pennsylvania
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Kie Jung Park such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
007338991
Medicaid
Pennsylvania
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kie Jung Park 6 Revere Rd, Mountain Top, Pennsylvania
Zip:
18707
Phone Number:
570-552-3900
Patients can reach Kie Jung Park at 562 Wyoming Ave, Kingston, Pennsylvania or can call to book an appointment on 570-552-3900.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.