| Doctor Name: | DR. MI-KYONG M KWON |
| NPI Number: | 1326169400 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | LC1741 |
| Business Practice Address: | 11312 Megan Lynn Ct Marriottsville, MD - 211041655 |
| Business Phone Number: | 4102412520 |
| Business Fax Number: | 4104421075 |
| Mailing Address: | 11312 Megan Lynn Ct, MARRIOTTSVILLE |
| State: | MD |
| Postal Code: | 211041655 |
| Phone Number: | 4102412520 |
| Fax Number: | 4104421075 |
| NPI Enumeration Date: | 04/03/2007 |
| NPI Last Update Date: | 05/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LC1741 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |