Frederick Kim Park, MD
Frederick Kim Park, MD is a Plastic and Reconstructive Surgery in Rocky Mount, North Carolina. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1983, 43 years ago. Practices with James River Dermatology PLLC, a 9-clinician group and accepts Medicare assignment. Licensed in North Carolina.
- Years since qualifying
- 43
- Trained at
- University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
- Licensed in
- NC
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
4008 Capital DrRocky Mount, NC 27804
Phone: (252) 937-5003
Fax: (252) 937-3020
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Plastic Surgery Physician (primary) | Taxonomy 208200000X · Licence 36793 (NC) |
|---|
Record details
| NPI number | 1407964547 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | August 28, 2006 |
| Last updated in NPPES | August 11, 2025 |
| Certification date | August 11, 2025 |
Medicare enrollment
| Medicare specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
|---|---|
| Medical school | UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB) |
| Graduated | 1983 (43 years in practice) |
| Group practice | James River Dermatology Pllc — 9 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |