IndividualActive
Kathleen Park, MD
NPI 1790709582 · Pediatric Adolescent Medicine Physician · Seattle, WA
Provider details
- NPI number
- 1790709582
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD00040435 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1100 9th Ave
Seattle, WA 98101-2756
Phone: (206) 223-6600
Approximate (ZIP-level) locationGet directions
Mailing address
1100 9th Ave
Seattle, WA 98101-2756
Registry dates
- Enumerated
- 2006-07-26
- Last updated
- 2008-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.