Individual
KWON SOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8511 S TACOMA WAY # 200, LAKEWOOD, WA 98499-6521
(253) 588-4015
(253) 588-4035
Mailing address
8511 S TACOMA WAY # 200, LAKEWOOD, WA 98499-6521
(253) 588-4015
(253) 588-4035
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60856340
WA
363LF0000X
Family Nurse Practitioner
NP14004
MP
Other
Enumeration date
11/04/2014
Last updated
11/19/2018
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