Kwon, Kong Young

Kwon, Kong Young is an individual health care provider with primary practice located at 3700 Kolbe Rd , Lorain OH 44053-1611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Kwon, Kong Young can be contacted via phone (440) 960-4000.

Contact Information

Primary practice address
3700 Kolbe Rd Lorain OH 44053-1611
Phone: (440) 960-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35.037196 Ohio

Profile Details

NPI number 1700895885
LBN Legal business name Kwon, Kong Young
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2006
Last updated Sep 28th, 2009 - about 16 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 1700895885 NPPES
Ohio MEDICAID 2689863
Ohio MEDICAID 2943917

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