Kee Bum Park, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD109222 Issued in MO

Practice address

304 S Mount Auburn Rd
Cape Girardeau, MO 63703-4920

Phone

(573) 334-9933

Fax

(573) 334-9958

NPI assigned

Aug 11, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Missouri Imaging, Inc

  • Diagnostic Radiology Physician
  • Cape Girardeau, MO
  • NPI 1497713168
  NPD (past)
• Missouri Imaging, Inc

  • Diagnostic Radiology Physician
  • Kirkwood, MO
  • NPI 1578521241
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1891797668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S MOUNT AUBURN RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034920",
            "telephone_number": "573-334-9933",
            "fax_number": "573-334-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S MOUNT AUBURN RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034920",
            "telephone_number": "573-334-9933",
            "fax_number": "573-334-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "KEE",
        "middle_name": "BUM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "MD109222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbi J Palmer, FNP-C
• Lori Alyse Palmer, LBSW
• Charles H Pancoast, MD
• Park Pharmacy, LLC
• Frederic C Park III, MD
• Derrall Shawn Parker, M.D.
• Linda Parker
• Scott Andrew Parker, MS, ATC
• Sylvester Parker, DDS
• Parkviewrx Missouri, LLC

• Specialist in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.