Individual
MIN YOUNG KWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-3116
Mailing address
442 THORNHILL LN APT D1, WHEELING, IL 60090-2366
(224) 715-2633
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005846
VA
Other
Enumeration date
08/27/2017
Last updated
08/27/2017
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