Individual
JENNIFER J KWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1635 AURORA CT, AURORA, CO 80045-2541
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
DR.0052557
CO
2085R0202X
Diagnostic Radiology Physician
DR.0052557
CO
Other
Enumeration date
03/13/2008
Last updated
03/29/2022
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