KIE JUNG PARK MD
NPI 1477596088
Psychiatry & Neurology - Psychiatry in Kingston, PA

Q: What is Kie Park's NPI number?

The NPI number for Kie Park is 1477596088. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Q: What is Kie Park's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Kie Park was last updated on October 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since June 13, 2006

562 WYOMING AVE, KINGSTON, PA 18704(570) 552-3900(570) 552-3907 Get Directions Write a Review

NPPES record last updated: October 2, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kie Jung Park Md NPPES

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

KIE JUNG PARK MD (NPI 1477596088) is an individual psychiatry provider in Kingston, Pennsylvania, licensed in Pennsylvania (MD033477L) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1477596088

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameKIE JUNG PARKCredential: MD

Location Address562 WYOMING AVEKingston, PA 18704

Mailing Address6 Revere RdMountain Top, PA 18707 · (570) 552-3900

Phone(570) 552-3900

Fax(570) 552-3907

Sole ProprietorNo

Enumeration DateJune 13, 2006

Last NPPES UpdateOctober 2, 2009

✔ NPI 1477596088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in PA · MD033477L

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X · License MD033477L (PA)

Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X · License MD033477L (PA)

562 WYOMING AVE, Kingston, PA 18704

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Other Identifiers 3

Medicare UPINE64104

Medicaid007338991PA

Medicare PIN162163PA

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.

LUZERNE WYOMING COUNTY MH CENTER #1

Psychiatry & Neurology (Psychiatry)

562 WYOMING AVE
KINGSTON, PA 18704

Luzerne County (570) 552-3900

DENISE TOMSAK CAC

Counselor (Addiction (Substance Use Disorder))

562 WYOMING AVE
KINGSTON, PA 18704

Luzerne County (570) 552-3700

DR. MICHAEL ALLAN CHURCH PHD

Psychologist

562 WYOMING AVE, NESBITT HOSPITAL
KINGSTON, PA 18704

Luzerne County (570) 552-3891

LUZERNE WYOMING COUNTY MH CENTER #1

Clinic/Center

562 WYOMING AVE
KINGSTON, PA 18704

Luzerne County (570) 552-3700

MR. JAMES WIELGOPOLSKI RPH

Pharmacist

562 WYOMING AVE
KINGSTON, PA 18704

Luzerne County (570) 552-7500

LUZERNE WYOMING COUNTY MH CENTER #1

Psychologist (Counseling)

562 WYOMING AVE
KINGSTON, PA 18704

Luzerne County (570) 552-3760

WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC

Clinic/Center (Federally Qualified Health Center (FQHC))

562 WYOMING AVE
KINGSTON, PA 18704

Luzerne County (570) 552-3700

WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))

562 WYOMING AVE
KINGSTON, PA 18704

Luzerne County (570) 552-3700

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 Kie Park's NPI number?

The NPI number for Kie Park is 1477596088. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Kie Park located?

Kie Park practices at 562 Wyoming Ave, Kingston, PA 18704. The listed phone number is (570) 552-3900.

What is Kie Park's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Kie Park was last updated on October 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.