Search › Nebraska › 207X00000X
Kwangwon Park, MD, PHD
NPI 1801423157 · on the registry since 2020 · sole proprietor
Practice
- Address
- 111 N 84th St
Omaha, NE 68114 - Phone
- (402) 955-6329
- Fax
- (202) 877-8959
- Organisation at this address
- Childrens Hospital & Medical Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 207X00000X
207X00000X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-10
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 Nebraska