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

In Kwon Park, MD

Individual provider Internal Medicine Physician · NPI 1255588679

In Kwon Park, MD is an Internal Medicine in Lakewood, Washington. Graduated from University of Virginia School of Medicine in 2005, 21 years ago. Accepts Medicare assignment. Licensed in District of Columbia and Washington.

Years since qualifying
21
Trained at
University of Virginia School of Medicine
Licensed in
DC, WA
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

8730 S Tacoma Way Ste 104
Lakewood, WA 98499-4521
Phone: (253) 212-3637
Fax: (253) 267-0153
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD60044488 (WA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 137595 (DC)

Record details

NPI number1255588679
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 27, 2008
Last updated in NPPESJuly 22, 2022
Certification dateJuly 22, 2022
Mailing address8730 S Tacoma Way Ste 104, Lakewood, WA 98499-4521

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesINFECTIOUS DISEASE
Medical schoolUNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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