Individual provider · Type 1 NPI

Ki Yun Park

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1376489211 Active

Practice location

550 1st Ave
New York, NY 10016-6402

Call (212) 263-5506 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376489211

Ki Yun Park's National Provider Identifier is 1376489211, issued on Apr 24, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Jun 5, 2026.