IndividualActive
Seungkyu Park, DO
NPI 1750145629 · Military Health Care Provider · Fort Bragg, NC
Provider details
- NPI number
- 1750145629
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
Practice location
2817 Rock Merritt Ave
Fort Bragg, NC 28310-0001
Phone: (910) 907-9262
Mailing address
9040 Jackson Ave
Tacoma, WA 98431-0001
Registry dates
- Enumerated
- 2024-02-09
- Last updated
- 2025-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.