Individual
DAVID KWON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4500 EUCLID AVE, CLEVELAND, OH 44103-3736
(216) 325-9296
Mailing address
5209 DETROIT AVE, CLEVELAND, OH 44102-2224
(216) 651-2037
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12360
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0093361
—
OH
Enumeration date
07/07/2011
Last updated
12/17/2013
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