Individual
JOHN H. KWON
Active
Individual
JOHN H. KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
28252
AZ
207N00000X
Dermatology Physician
Primary
308461
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1836633
FIRST HEALTH
AZ
01
—
1Z9556
HEALTHNET
AZ
01
—
28252
STATE LICENCE
AZ
01
—
2871146
CIGNA
AZ
01
—
5239785
CCN
AZ
01
—
7710121
AETNA
AZ
01
—
AZ0737860
ARIZONA #
AZ
01
—
P0890630
BCBS OF AZ
AZ
Enumeration date
05/03/2006
Last updated
10/01/2018
Update your record
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