Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anthony Park

Individual provider Emergency Medicine Physician · NPI 1861176182

Anthony Park is a Family Practice in Kirksville, Missouri. Qualified in 2021, 5 years ago. Licensed in Missouri.

Years since qualifying
5
Licensed in
MO
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

315 S Osteopathy Ave
Kirksville, MO 63501-6401
Phone: (660) 785-1000
Fax: (660) 785-1154
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2024040709 (MO)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2024040709 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2023022824 (MO)

Record details

NPI number1861176182
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 15, 2023
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025
Mailing address315 S Osteopathy Ave, Kirksville, MO 63501-6401

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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