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

Kevin L Park, MD

Individual provider Family Medicine Physician · NPI 1063441491

Kevin L Park, MD is a Family Practice in Bryan, Ohio. Graduated from Toledo Medical College in 1986, 40 years ago. Practices with Midwest Community Health Associates, Inc, a 99-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
40
Trained at
Toledo Medical College
Licensed in
OH
In the registry since
2006
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

442 W High St Ste 3
Bryan, OH 43506-1681
Phone: (419) 636-4517
Fax: (419) 636-6438
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35-055915 (OH)

Record details

NPI number1063441491
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2006
Last updated in NPPESMarch 29, 2023
Certification dateMarch 29, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolTOLEDO MEDICAL COLLEGE
Graduated 1986 (40 years in practice)
Group practice Midwest Community Health Associates, Inc. — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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