Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
YONG KU KWON, PA
ActiveYONG KU KWON, PA is a Medical Physician Assistant healthcare provider located in DORAVILLE, Georgia. NPI 1033204631 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · DORAVILLE, GA
Registration Details
- NPI Number
- 1033204631
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2006 (19.909722044383 yrs)
- Last Updated
- Jan 11, 2010
- License
-
004834 (GA)
Practice Information
- Address
-
5677 BUFORD HWY NE STE 210DORAVILLE, GA, 303401200Browse GA providers · Browse ZIP 30340
- Phone
- 6785471045
- Fax
- 6785471048
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.