Dr Kwons Family Practice Inc | |
8820 59th Ave Sw #100 Lakewood WA 98499 | |
(253) 983-9000 | |
(253) 983-9155 |
Full Name | Dr Kwons Family Practice Inc |
---|---|
Speciality | Family Medicine |
Location | 8820 59th Ave Sw, Lakewood, Washington |
Authorized Official Name and Position | Andrew Ohjoon Kwon (PRESIDENT) |
Authorized Official Contact | 2539839000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dr Kwons Family Practice Inc 8820 59th Ave Sw #100 Lakewood WA 98499 Ph: (253) 983-9000 | Dr Kwons Family Practice Inc 8820 59th Ave Sw #100 Lakewood WA 98499 Ph: (253) 983-9000 |
NPI Number | 1457318107 |
---|---|
Provider Enumeration Date | 04/27/2006 |
Last Update Date | 11/08/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457318107 | NPI | - | NPPES |
1107630 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD0034844 (Washington) | Primary |
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