Individual provider · Type 1 NPI

Kevin U. Park, MD

Orthopaedic Surgery Physician · Fayetteville, GA

NPI number 1356579627 Active

Practice location

1265 Highway 54 W, Suites 102 And 308
Fayetteville, GA 30214-4548

Call (770) 460-1900 Map

Fax (770) 719-1214

Mailing address

900 Circle 75 Sepkwy 1700
Atlanta, GA 30339-3087

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery of the Spine Physician 207XS0117X074050 (GA)
Orthopaedic Surgery Physician Primary 207X00000X74050 (GA)

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

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About NPI 1356579627

Kevin U. Park, MD's National Provider Identifier is 1356579627, issued on Jun 25, 2009. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Fayetteville, GA. The record was last updated on Aug 11, 2022.