Individual provider · Type 1 NPI

Gwendolyn Park

Physician Assistant · Kalamazoo, MI

NPI number 1245134709 Active

Practice location

601 John St
Kalamazoo, MI 49007-5232

Call (269) 341-7645 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1245134709

Gwendolyn Park's National Provider Identifier is 1245134709, issued on Oct 6, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Kalamazoo, MI. The record was last updated on Oct 6, 2026.