KIE J. PARK MD – NPI #1477596088
Psychiatry & Neurology

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

KIE PARK is a psychiatry & neurologist located in KINGSTON, PA. NPPES has assigned the NPI number 1477596088 to KIE PARK on June 13, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084P0800X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Psychiatry

The NPI profile was previously updated about 17 years ago on Oct 02, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KIE PARK below.

NPI Profile for
KIE J. PARK

NPI Number
1477596088
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KIE J. PARK
Credentials
MD
Primary location
562 WYOMING AVE
KINGSTON, PA 18704
Phone: (570) 552-3900 Fax: (570) 552-3907
Mailing address
6 REVERE RD
MOUNTAIN TOP, PA 18707
Phone: (570) 552-3900 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for KIE PARK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDPA007338991
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0800X
- Psychiatry & Neurology / Psychiatry (Primary)
PA MD033477L
2084P0805X
- Psychiatry & Neurology / Geriatric Psychiatry
PA MD033477L
2084P0802X
- Psychiatry & Neurology / Addiction Psychiatry
PA MD033477L

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.