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

Anthony Park

Individual provider Emergency Medicine Physician · NPI 1861176182

Anthony Park is a Family Practice in Kirksville, Missouri. Qualified in 2021, 5 years ago. Licensed in Missouri.

Years since qualifying
5
Licensed in
MO
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

315 S Osteopathy Ave
Kirksville, MO 63501-6401
Phone: (660) 785-1000
Fax: (660) 785-1154
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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 2024040709 (MO)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2024040709 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2023022824 (MO)

Record details

NPI number1861176182
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 15, 2023
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Kirksville