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NPI · 1396618054 · NPPES-sourced

Kyoungsook Park Agacnp-Bc

ActiveAcute Care Nurse Practitioner
NPI Number
1396618054
Type 1 · Individual
Taxonomy Code
363LA2100X
Contact
(443) 846-9647
License UT · 12512586-4405
Last Updated
Enumerated
Primary practice addressUT · 84108-2437
2455 E Village CirSalt Lake City, UT 84108-2437
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About this NPIWhat this record shows.

NPI 1396618054 is registered to Kyoungsook Park Agacnp-Bc, a Acute Care Nurse Practitioner practising at 2455 E Village Cir in Salt Lake City, Utah. Acute Care Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Kyoungsook Park Agacnp-Bc has been enumerated in the National Provider Identifier (NPI) registry since 2025.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Kyoungsook Park Agacnp-Bc accepts. To confirm in-network status with your specific health plan, contact Kyoungsook Park Agacnp-Bc directly at (443) 846-9647.

Frequently asked

Yes. NPI 1396618054 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Acute Care Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (443) 846-9647.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Kyoungsook Park Agacnp-Bc is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363LA2100X
Last updated
Enumerated
StatusActive
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