Most Relevant Information
Provider Data
| NPI Number: | 1003518705 |
| Provider Name: | JOSHUA HAN SUNG PAK DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/20/2023 |
| Last Updated: | 03/20/2023 |
Provider Practice Location
12200 W 106TH ST STE 325
OVERLAND PARK
KS
662152381
Practice Location Phone/Fax
| Phone: | 9134987004 |
| Fax: |
Provider Mailing Location
12200 W 106TH ST STE 325
OVERLAND PARK
KS
662152381
Provider Mailing Phone/Fax
| Phone: | 9134987004 |
| Fax: |