SearchKentucky101YP2500X

Candace Park, PH.D

NPI 1811607732 · on the registry since 2022 · sole proprietor

Practice

Address
205 Sweet Maple Dr
Richmond, KY 40475
Phone
(931) 629-6013

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YP2500X
101YP2500X
Licence states on file
LA, AL, KY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-12-01

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 Kentucky