Individual
STEPHANIE KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
04053
KY
208000000X
Pediatrics Physician
34013275
OH
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
83174
SC
208M00000X
Hospitalist Physician
34-013275
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0271739
—
OH
05
—
300004157
—
IN
05
—
7100361040
—
KY
Enumeration date
03/27/2014
Last updated
12/01/2025
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