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

Kelly Park

Individual provider Pharmacist · NPI 1073977427

Kelly Park is a Pharmacist in Inglewood, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
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Practice location Address checks out

4345 W Century Blvd
Inglewood, CA 90304-1519
Phone: (310) 672-6078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 73098 (CA)

Record details

NPI number1073977427
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 12, 2016
Last updated in NPPESApril 12, 2016

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