Daniel S Park, PA-C in Fort Knox, KY - Military Health Care Provider

Daniel S Park, PA-C is a Military Health Care Provider based in Fort Knox, Kentucky. Daniel S Park is licensed to practice in * (Not Available) (license number ) and his current practice location is 200 Brule St Bldg 871, Fort Knox, Kentucky. He can be reached at his office (for appointments etc.) via phone at (502) 624-9333.

NPI number for Daniel S Park is 1225741952 and his current mailing address is 1166 Ne Laurel Ct, Issaquah, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225741952.

Contact Information

	Daniel S Park, PA-C
	200 Brule St Bldg 871, Fort Knox, KY 40121-6100
	(502) 624-9333
	Not Available

Provider's Profile

Full Name	Daniel S Park
Gender	Male
Speciality	Military Health Care Provider
Location	200 Brule St Bldg 871, Fort Knox, Kentucky
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1225741952
Provider Enumeration Date: 12/27/2022
Last Update Date: 12/27/2022

Medical Identifiers

Medical identifiers for Daniel S Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225741952	NPI	-	NPPES
1204605	Other		NCCPA IDENTIFICATION NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Secondary
171000000X	Military Health Care Provider	(* (Not Available))	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. Daniel S 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 Address	Practice Location Address
Daniel S Park, PA-C 1166 Ne Laurel Ct, Issaquah, WA 98029-7676 Ph: (206) 778-9459	Daniel S Park, PA-C 200 Brule St Bldg 871, Fort Knox, KY 40121-6100 Ph: (502) 624-9333

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Daniel S Park, PA-C - Military Health Care Provider in Fort Knox, KY