Individual
DR. YOON TAIK KWON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 SIR FRANCIS DRAKE BLVD, KENTFIELD, CA 94904-1419
(415) 459-4601
(415) 459-4607
Mailing address
1100 SIR FRANCIS DRAKE BLVD, KENTFIELD, CA 94904-1419
(415) 459-4601
(415) 459-4607
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A44787
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A44787
STATE LICENSE
CA
Enumeration date
07/31/2006
Last updated
07/08/2007
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