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DR. KEVIN CHANIL PARK M.D.
NPI 1962437053
Internal Medicine in Sun Prairie, WI

Active since July 11, 2006
2161 WINDING STREAM WAY, SUN PRAIRIE, WI 53590(702) 994-2958 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kevin Chanil Park M.d. NPPES

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

DR. KEVIN CHANIL PARK M.D. (NPI 1962437053) is an individual internal medicine provider in Sun Prairie, Wisconsin, licensed in Wisconsin (68021) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1962437053
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KEVIN CHANIL PARKCredential: M.D.
Location Address2161 WINDING STREAM WAYSun Prairie, WI 53590-8868
Mailing Address2161 Winding Stream WaySun Prairie, WI 53590-8868 · (702) 994-2958
Phone(702) 994-2958
Sole ProprietorNo
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
✔ NPI 1962437053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in WI · 68021✔ Licensed in MA · 154140
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2161 WINDING STREAM WAY, Sun Prairie, WI 53590
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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 Kevin Chanil Park's NPI number?

The NPI number for Kevin Chanil Park is 1962437053. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Kevin Chanil Park located?

Kevin Chanil Park practices at 2161 Winding Stream Way, Sun Prairie, WI 53590. The listed phone number is (702) 994-2958.

What is Kevin Chanil Park's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Kevin Chanil Park was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.