KELLY PARK
NPI 1073486395
Physical Medicine & Rehabilitation in Wallingford, PA
About Kelly Park NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY PARK (NPI 1073486395) is an individual physical medicine & rehabilitation provider in Wallingford, Pennsylvania, licensed in Pennsylvania (PT023909) and active in the NPI registry since September 2025.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WALLINGFORD, PA 19086
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelly Park's NPI number?
The NPI number for Kelly Park is 1073486395. It was assigned to this individual provider in the NPPES registry on September 24, 2025.
Where is Kelly Park located?
Kelly Park practices at 115 S Providence Rd, Wallingford, PA 19086. The listed phone number is (610) 565-3232.
What is Kelly Park's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
When was this NPI record last updated?
The NPPES record for Kelly Park was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.