Ken Park, M.D

NPI 1245214402 · on the registry since 2005

Practice

Address: 1624 Mars Hill Rd Ste B
Watkinsville, GA 30677
Phone: (706) 310-1030
Organisation at this address: Oconee Primary Care, L.L.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Additional practice sites

1199 Prince Ave, Athens, GA

Registry record

Primary taxonomy: 207R00000X
207R00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-07-19

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 Georgia