Individual provider · Type 1 NPI

Kathleen Marie Park, NP MSN

Addiction (Substance Use Disorder) Registered Nurse · San Francisco, CA

NPI number 1275668287 Active

Practice location

1001 Potrero Ave, Bldg 93
San Francisco, CA 94110-3518

Fax (415) 206-6875

Mailing address

455 Vallejo St, #308
San Francisco, CA 94133-4174

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X150256 (CA)
Addiction (Substance Use Disorder) Registered Nurse Primary 163WA0400X150256 (CA)

Addiction (Substance Use Disorder) Registered Nurse: Definition to come...

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About NPI 1275668287

Kathleen Marie Park, NP MSN's National Provider Identifier is 1275668287, issued on Feb 22, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in San Francisco, CA. The record was last updated on Sep 11, 2025.