Dr Kathryn L Park, MD - Pain Medicine in Mishawaka, IN

Dr Kathryn L Park, MD is a Pain Medicine - Pain Medicine physician based in Mishawaka, Indiana. Dr Kathryn L Park is licensed to practice in Indiana (license number 01055115A) and her current practice location is 301 E Day Rd, Mishawaka, Indiana. She can be reached at her office (for appointments etc.) via phone at (574) 237-9340.

NPI number for Dr Kathryn L Park is 1548250186 and her current mailing address is 301 E Day Rd, Mishawaka, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548250186.

Contact Information

Dr Kathryn L Park, MD
301 E Day Rd,
Mishawaka, IN 46545-3455
(574) 237-9340
(574) 239-1474



Physician's Profile

Full NameDr Kathryn L Park
GenderFemale
SpecialityPain Medicine - Pain Medicine
Location301 E Day Rd, Mishawaka, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1548250186
  • Provider Enumeration Date: 10/25/2005
  • Last Update Date: 11/04/2019

Medical Identifiers

Medical identifiers for Dr Kathryn L Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548250186NPI-NPPES
200349420MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation 01055115A (Indiana)Secondary
208VP0000XPain Medicine - Pain Medicine 01055115A (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kathryn L Park is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kathryn L Park, MD
301 E Day Rd,
Mishawaka, IN 46545-3455

Ph: (574) 237-9340
Dr Kathryn L Park, MD
301 E Day Rd,
Mishawaka, IN 46545-3455

Ph: (574) 237-9340

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Pain Medicine Doctors in Mishawaka, IN

Dr. Ajit V Pai, MD
Pain Medicine
Medicare: Medicare Enrolled
Practice Location: 3212 Hickory Rd, Suite B, Mishawaka, IN 46545
Phone: 574-251-0498    Fax: 574-251-0068

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