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KATELYN PARK
NPI 1639014889
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since April 22, 2026
650 W BALTIMORE ST, BALTIMORE, MD 21201(703) 963-2874 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katelyn Park NPPES

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

KATELYN PARK (NPI 1639014889) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1639014889
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKATELYN PARK
Location Address650 W BALTIMORE STBaltimore, MD 21201-1510
Mailing Address300 W Lombard St Apt 413Baltimore, MD 21201-2873
Phone(703) 963-2874
Sole ProprietorYes
Enumeration DateApril 22, 2026
NPPES CertifiedApril 22, 2026
✔ NPI 1639014889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
650 W BALTIMORE ST, Baltimore, MD 21201
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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.

DR. DONITA DYALRAM MD
Oral & Maxillofacial Surgery
650 W BALTIMORE ST, SUITE 1401
BALTIMORE, MD 21201
Baltimore City (410) 706-6195
DR. MARIA TIBBS DDS
Dentist
650 W BALTIMORE ST
BALTIMORE, MD 21201
Baltimore City (540) 999-8167
MRS. LIGUORI ANNE TEWES
Dental Hygienist
650 W BALTIMORE ST
BALTIMORE, MD 21201
Baltimore City (410) 706-7153
OZMA KHUSHBAKTH
Student in an Organized Health Care Education/Training Program
650 W BALTIMORE ST
BALTIMORE, MD 21201
Baltimore City (410) 706-7101
DR. KATELYN N MALCHESTER DDS
Dentist
650 W BALTIMORE ST
BALTIMORE, MD 21201
Baltimore City (443) 848-5192
JANET YELLOWITZ DMD, MPH
Dentist
650 W BALTIMORE ST, #3211
BALTIMORE, MD 21201
Baltimore City (410) 706-7254
PATRICIA KAY MCAULEY
Student in an Organized Health Care Education/Training Program
650 W BALTIMORE ST
BALTIMORE, MD 21201
Baltimore City (410) 706-2716
DR. MARY ANNE SAMPAIO DE MELO DDS, MS, PHD
Dentist
650 W BALTIMORE ST
BALTIMORE, MD 21201
Baltimore City (410) 706-8705

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 Katelyn Park's NPI number?

The NPI number for Katelyn Park is 1639014889. It was assigned to this individual provider in the NPPES registry on April 22, 2026.

Where is Katelyn Park located?

Katelyn Park practices at 650 W Baltimore St, Baltimore, MD 21201. The listed phone number is (703) 963-2874.

What is Katelyn Park's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Katelyn Park was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.