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Kyle K. Park, MD

NPI 1609062488ActiveIndividual· Family Medicine· Upper Sandusky, OH

Family Medicine (MD) in Upper Sandusky, Ohio, licensed in OH, with an NPI issued in September 2007.

Overview

NPI1609062488
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorYes
NPI issuedSep 14, 2007
Last updated in NPPESApr 11, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X35037628OH

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other family medicine physicians in Upper Sandusky

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