Individual
HAE YOON KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1310 ALFORD AVE, SUITE 102, HOOVER, AL 35226-3199
(205) 824-8850
(205) 824-8853
Mailing address
2953 PELHAM PKWY, PELHAM, AL 35124-1708
(205) 624-2436
(205) 624-2439
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3962
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051513721KWO
BLUE CROSS BLUE SHIELD
AL
Enumeration date
01/09/2007
Last updated
06/21/2022
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