Individual
JOHN H. KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2750 GAUSE BLVD E, SLIDELL, LA 70461
(985) 639-3777
Mailing address
1514 JEFFERSON HWY STE 135, NEW ORLEANS, LA 70121-2429
(504) 842-4000
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
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