Individual
YONG KWON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
1801 10TH AVE NW, ISSAQUAH, WA 98027-5384
(425) 369-6726
Mailing address
1600 KEMPTON ST SE # 3-203, OLYMPIA, WA 98501-7501
(503) 953-2729
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
60613577
WA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
10/17/2012
Last updated
11/21/2015
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