| Dr Hyo Kwon Park, DO | |
|
13855 Courthouse Rd, Dinwiddie, VA 23841-2254 | |
| (804) 469-3731 | |
| (804) 469-5307 |
| Full Name | Dr Hyo Kwon Park |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 13855 Courthouse Rd, Dinwiddie, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730170770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0102202692 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health | Midlothian, VA | Home health agency |
| Southside Regional Medical Center | Petersburg, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Dominion Health System Inc | 0648188755 | 15 |
| Southern Dominion Health System Inc | 0648188755 | 15 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Hyo Kwon Park, DO P.o. Box 70, 1508 K-v Road, Victoria, VA 23974 Ph: (434) 696-2165 | Dr Hyo Kwon Park, DO 13855 Courthouse Rd, Dinwiddie, VA 23841-2254 Ph: (804) 469-3731 |
Amanda Russell, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13855 Courthouse Rd, Dinwiddie, VA 23841 Phone: 804-469-3731 | |
Amber Parker, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 18410 Sycamore St, Dinwiddie, VA 23841 Phone: 931-980-7958 |