Individual
KENT C CHOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-7892
(319) 356-3392
Mailing address
55 WHITCHER ST NE STE 130, MARIETTA, GA 30060-1156
(770) 428-0462
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
34262
IA
208600000X
Surgery Physician
Primary
87331
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0246512
—
IA
01
—
41988
WELLMARK BCBS
IA
Enumeration date
09/01/2005
Last updated
12/28/2020
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