Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kie Jung Park, MD

Psychiatry Physician in Kingston, PA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477596088

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Registry record

Entity type Individual (Type 1)

Name Kie Jung Park

Credential MD

Sex Male

Practice address 562 Wyoming Ave, Kingston, PA, 18704

Phone (570) 552-3900

Fax (570) 552-3907

Enumeration date Jun 13, 2006

Last updated in NPPES Oct 2, 2009

Taxonomy & licenses

2084P0802X Addiction Psychiatry Physician Allopathic & Osteopathic Physicians · License MD033477L (PA) Secondary

2084P0805X Geriatric Psychiatry Physician Allopathic & Osteopathic Physicians · License MD033477L (PA) Secondary

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License MD033477L (PA) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
007338991	Medicaid	PA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Kie Park's NPI record?

Cross-check NPI 1477596088 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1477596088 active?

Yes, as of the latest NPPES snapshot, NPI 1477596088 is active (record last updated 2009-10-02).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-10-02.