Individual
KANG KWON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4448 OAKBRIDGE DR, SUITE C, FLINT, MI 48532-5484
(810) 732-4560
(810) 732-1177
Mailing address
4448 OAKBRIDGE DR, SUITE C, FLINT, MI 48532-5484
(810) 732-4560
(810) 732-1177
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301041037
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2602534242
BCBSM
MI
05
—
3181910
—
MI
Enumeration date
08/02/2006
Last updated
11/02/2007
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