| Kenneth Park, OMD | |
|
8 Appio Dr, Randolph, NJ 07869-2414 | |
| (201) 424-4263 | |
| Not Available |
| Full Name | Kenneth Park |
|---|---|
| Gender | Male |
| Speciality | Acupuncturist |
| Location | 8 Appio Dr, Randolph, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306552195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | 005964-01 (New York) | Secondary |
| 171100000X | Acupuncturist | 25NZ00137300 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Park, OMD 8 Appio Dr, Randolph, NJ 07869-2414 Ph: (201) 424-4263 | Kenneth Park, OMD 8 Appio Dr, Randolph, NJ 07869-2414 Ph: (201) 424-4263 |
Lauren Jennifer Kaplan, MSAC, LAC Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 477 Route 10 Ste 206, Randolph, NJ 07869 Phone: 917-202-8931 | |
Ms. Lara Dionne Beneshan, L.AC. Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 540 Route 10 W, Randolph, NJ 07869 Phone: 973-366-6615 | |
Brittany Mekeel, L.A.C Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 540 Route 10 W, Randolph, NJ 07869 Phone: 973-366-6615 Fax: 973-366-9427 | |
Ms. Kimberly Ann Summitt, L. AC. AND CPHT Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 7 Fairfield Ave, Randolph, NJ 07869 Phone: 805-698-9889 Fax: 973-366-5105 |