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

Kelly Park, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1346536349

Kelly Park, DO is an Obstetrics & Gynecology Physician in Antioch, California. Licensed in California and New Jersey. Registered with an NPI since 2011.

Licensed in
CA, NJ
In the registry since
2011
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

4501 Sand Creek Rd
Antioch, CA 94531-8687
Phone: (925) 813-6500
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 20007 (CA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 25MB10893000 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1346536349
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 28, 2011
Last updated in NPPESJanuary 25, 2023
Certification dateJanuary 25, 2023
Mailing address4501 Sand Creek Rd, Antioch, CA 94531-8687

Other providers in Antioch