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

Chan Kyu Park, DC

Individual provider Rehabilitation Chiropractor · NPI 1639541485

Chan Kyu Park, DC is a Chiropractic in Johns Creek, Georgia. Graduated from Life Chiropractic College in 2012, 14 years ago. Accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
14
Trained at
Life Chiropractic College
Licensed in
GA
In the registry since
2015
Specialties on file
3
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

6630 McGinnis Ferry Rd Ste B
Johns Creek, GA 30097-2164
Phone: (678) 473-0552
Fax: (678) 473-0656
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CHIR009022 (GA)
Rehabilitation Chiropractor Taxonomy 111NR0400X · Licence CHIR009022 (GA)
Sports Physician Chiropractor Taxonomy 111NS0005X · Licence CHIR009022 (GA)

Record details

NPI number1639541485
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedOctober 20, 2015
Last updated in NPPESJanuary 14, 2022
Certification dateJanuary 14, 2022

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolLIFE CHIROPRACTIC COLLEGE
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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