IndividualActive
Ki Hong Park, D.M.D
NPI 1629467659 · Dentist · Fort Campbell, KY
Ki Hong Park, D.M.D is a Dentist provider in Fort Campbell, KY (NPI 1629467659).
Provider details
- NPI number
- 1629467659
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.M.D
- Sex
- Male
- Sole proprietor
- No
- License
- DN014638 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2441 21st St
Fort Campbell, KY 42223
Phone: (270) 798-8751
Approximate (ZIP-level) locationGet directions
Mailing address
2441 21st St
Fort Campbell, KY 42223-5582
Registry dates
- Enumerated
- 2015-01-14
- Last updated
- 2018-07-17
Frequently asked questions
- What is Ki Hong Park's NPI number?
- Ki Hong Park's National Provider Identifier (NPI) is 1629467659, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ki Hong Park's specialty?
- Ki Hong Park is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Ki Hong Park located?
- Ki Hong Park's practice location on file with NPPES is 2441 21st St, Fort Campbell, KY 42223.
- What is Ki Hong Park's phone number?
- The practice phone number listed in the NPPES registry for Ki Hong Park is (270) 798-8751.
- Is Ki Hong Park's NPI active?
- Yes — Ki Hong Park's NPI (1629467659) is active in the NPPES registry as of the last update on 2018-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.