Kwak, Myung S

Kwak, Myung S is an individual health care provider with primary practice located at 624 Market Ave N , Canton OH 44702-1017. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Kwak, Myung S can be contacted via phone (330) 454-7066.

Contact Information

Primary practice address
624 Market Ave N Canton OH 44702-1017
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 40382 Ohio

Profile Details

NPI number 1821198102
LBN Legal business name Kwak, Myung S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Mar 7th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821198102 NPPES
Ohio MEDICAID 2098340

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