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Ki Park
NPI 1205480779 · on the registry since 2019
Practice
- Address
- 12825 Minnieville Road Suite 201
Lake Ridge, VA 22192 - Phone
- (703) 647-3130
- Organisation at this address
- Sentara Medical Group
Sentara Medical Group
Potomac Hospital Corporation Of Prince WilliamInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Sex
- Male
- Record last updated
- 2019-08-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia