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

Kyeong Soo Park

Individual provider Pharmacist · NPI 1144803818

Kyeong Soo Park is a Pharmacist in Pleasant Prairie, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2021.

Licensed in
WI
In the registry since
2021

Practice location Address checks out

7520 118th Ave
Pleasant Prairie, WI 53158-1128
Phone: (262) 857-9484
Fax: (262) 857-2707
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 20554-40 (WI)

Record details

NPI number1144803818
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 30, 2021
Last updated in NPPESApril 30, 2021
Certification dateApril 30, 2021
Mailing address7520 118th Ave, Pleasant Prairie, WI 53158-1128

Other providers in Pleasant Prairie