Individual
DR. KISEOK KWON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3473 SATELLITE BLVD, DULUTH, GA 30096-8690
(909) 747-8205
Mailing address
3355 MCDANIEL RD APT 8306, DULUTH, GA 30096-8646
(909) 747-8205
(888) 343-9937
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
25657
MD
225100000X
Physical Therapist
Primary
PT013151
GA
Other
Enumeration date
09/10/2015
Last updated
03/17/2018
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