Individual
HAERIM KWON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 16TH ST, BEDFORD, IN 47421-3510
(812) 275-5993
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
0033230
OH
363LW0102X
Women's Health Nurse Practitioner
Primary
71017394A
IN
Other
Enumeration date
03/07/2023
Last updated
02/03/2026
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