Provider Demographics
NPI:1417115437
Name:MCELLIGOTT PARK, KARA ALINA MAY (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:KARA
Middle Name:ALINA MAY
Last Name:MCELLIGOTT PARK
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:ALINA MAY
Other - Last Name:MCELLIGOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MPH, MMCI
Mailing Address - Street 1:4415 TALCOTT DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-6130
Mailing Address - Country:US
Mailing Address - Phone:919-260-5553
Mailing Address - Fax:
Practice Address - Street 1:4415 TALCOTT DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-6130
Practice Address - Country:US
Practice Address - Phone:919-260-5553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-27
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2012-00581207VX0000X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics