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

Individual provider Anesthesiology Physician · NPI 1144481466

Kellie Adrienne Park, MD is an Anesthesiology in Seymour, Indiana. Graduated from Indiana University School of Medicine in 2008, 18 years ago. Practices with Johnson Memorial Hospital, a 39-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
18
Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

411 W Tipton St Attn: Anesthesia Dept
Seymour, IN 47274-2363
Phone: (812) 524-2738
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 01073835A (IN)

Record details

NPI number1144481466
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 19, 2008
Last updated in NPPESJanuary 21, 2019

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Johnson Memorial Hospital — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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