National Provider Identifier Database

KWANG SOO PARK, MD – NPI #1689635880
Psychiatry

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.


Contact Information

KWANG SOO PARK, MD
6915 TUTT BLVD STE 110B
COLORADO SPRINGS, CO80923
Phone: 719-445-1292
Fax: 719-591-6486
Website:
Specialty Taxonomy Code
* Psychiatry 2084P0800X
Geriatric Psychiatry 2084P0805X

* Indicates primary specialty

NPI Profile & details for KWANG SOO PARK

NPI Number 1689635880
Credentials MD
Entity Individual
Enumeration date 03/29/2006
Last updated 07/30/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • CO License #: 0060675
  • CO License #: DR0060675
  • OH Medicaid: 2334978
  • WV Medicaid: 1840930000
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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