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DANIEL S PARK PA-C
NPI 1225741952
Military Health Care Provider in Fort Knox, KY

Active since December 27, 2022
200 BRULE ST BLDG 871, FORT KNOX, KY 40121(502) 624-9333 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daniel S Park Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL S PARK PA-C (NPI 1225741952) is an individual military health care provider provider in Fort Knox, Kentucky and active in the NPI registry since December 2022. He maintains a secondary practice location in Apo.

NPPES Registry Identity

NPI1225741952
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameDANIEL S PARKCredential: PA-C
Location Address200 BRULE ST BLDG 871Fort Knox, KY 40121-6100
Mailing Address1166 Ne Laurel CtIssaquah, WA 98029-7676 · (206) 778-9459
Phone(502) 624-9333
Sole ProprietorNo
Enumeration DateDecember 27, 2022
NPPES CertifiedDecember 24, 2022
✔ NPI 1225741952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Also ListedPhysician AssistantTaxonomy 363A00000X
200 BRULE ST BLDG 871, Fort Knox, KY 40121
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Secondary Practice Location 1

Location 15949 15th Cavalry Dr, Fort Knox, KY 40121APO, AA 40121 · Phone (502) 624-8130

Other Identifiers 1

Other1204605Nccpa Identification Number

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MOMODOULAMIN S DRAMMEH P.A.
Physician Assistant
200 BRULE ST BLDG 871
FORT KNOX, KY 40121
Hardin County (704) 293-3652
DR. CURTIS DOUGLAS AUTERSON DPT
Physical Therapist
200 BRULE ST BLDG 871
FORT KNOX, KY 40121
Hardin County (502) 626-9967
DAVID ALEXANDER GUZMAN
Military Health Care Provider (Independent Duty Medical Technicians)
200 BRULE ST BLDG 871
FORT KNOX, KY 40121
Hardin County (800) 493-9602
EREK RAND GILLESPIE DC
Chiropractor (Sports Physician)
200 BRULE ST BLDG 871
FORT KNOX, KY 40121
Hardin County (502) 626-9733
MATTHEW LAVALLEE PA-C
Physician Assistant
200 BRULE ST BLDG 871
FORT KNOX, KY 40121
Hardin County (253) 968-2252
MRS. MARY LYNNE HEALEY LCSW, MAC, CAS
Social Worker (Clinical)
200 BRULE ST BLDG 871
FORT KNOX, KY 40121
Hardin County (502) 626-9892
DANIELLE HERENDEEN LCSW
Social Worker (Clinical)
200 BRULE ST BLDG 871
FORT KNOX, KY 40121
Hardin County (502) 626-9997
CATHERINE CUNNINGHAM PT, DPT, OCS
Physical Therapist
200 BRULE ST BLDG 871
FORT KNOX, KY 40121
Hardin County (800) 493-9602

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 Daniel Park's NPI number?

The NPI number for Daniel Park is 1225741952. It was assigned to this individual provider in the NPPES registry on December 27, 2022.

Where is Daniel Park located?

Daniel Park practices at 200 Brule St Bldg 871, Fort Knox, KY 40121. The listed phone number is (502) 624-9333.

What is Daniel Park's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Daniel Park was last updated on December 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.