Individual
MRS. SUN DUCK KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
721 FAIRFAX AVE, 3RD FLOOR, NORFOLK, VA 23507-2007
(757) 446-5915
(757) 446-5696
Mailing address
PO BOX 936, EVMS MEDICAL GROUP, NORFOLK, VA 23501-0936
(757) 446-5915
(757) 446-5696
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101256023
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-017
TRICARE/CHAMPUS
VA
01
—
10129766
OPTIMA HEALTH
VA
01
—
1202589
USA MANAGED CARE
VA
01
—
1528383122
UNITED HEALTHCARE
VA
05
—
1528383122
—
NC
05
—
1528383122
—
VA
01
—
522317
ANTHEM BC/BS
VA
01
—
PAR
CIGNA
VA
Enumeration date
04/07/2010
Last updated
02/18/2015
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