Doctor Name: | JUNGHAE HELEN KWON |
NPI Number: | 1558504340 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 35-033979 |
Business Practice Address: | 19800 Detroit Rd Rocky River, OH - 441161816 |
Business Phone Number: | 4409950555 |
Business Fax Number: | 4409951444 |
Mailing Address: | 19800 Detroit Rd, ROCKY RIVER |
State: | OH |
Postal Code: | 441161816 |
Phone Number: | 4409950555 |
Fax Number: | 4409951444 |
NPI Enumeration Date: | 04/09/2009 |
NPI Last Update Date: | 03/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 35-033979 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |