| 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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