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

Daniel S Park, PA-C

Individual provider Physician Assistant · NPI 1225741952

Daniel S Park, PA-C is a Physician Assistant in Fort Knox, Kentucky. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

200 Brule St Bldg 871
Fort Knox, KY 40121-6100
Phone: (502) 624-9333
Show map & directions

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

Additional practice locations (1)

  • 5949 15th Cavalry Dr, Fort Knox, Ky 40121, Apo, AA 40121 — (502) 624-8130

Specialties & licences

Military Health Care Provider (primary) Taxonomy 171000000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1225741952
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 27, 2022
Last updated in NPPESDecember 27, 2022
Certification dateDecember 24, 2022
Mailing address1166 Ne Laurel Ct, Issaquah, WA 98029-7676

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