Individual
KONG YOUNG KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3700 KOLBE RD, LORAIN, OH 44053-1611
(440) 960-4000
Mailing address
578 N LEAVITT RD, C/O MMS, AMHERST, OH 44001-1131
(440) 988-1009
(440) 988-1225
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35.037196
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2689863
—
OH
05
—
2943917
—
OH
Enumeration date
08/06/2006
Last updated
09/28/2009
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