Kwong, Christina Grace
Kwong, Christina Grace is an individual health care provider with primary practice located at 1919 E Thomas Rd , Phoenix AZ 85016-7710. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology. Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology is her primary health care specialty. Kwong, Christina Grace can be contacted via phone (602) 933-4063.Contact Information
Primary practice address
1919 E Thomas Rd
Phoenix AZ 85016-7710
Phone: (602) 933-4063
Fax: (602) 933-2423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2015025849 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology | 2080P0201X | 2015025849 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology | 2080P0201X | 62781 | Arizona |
Profile Details
| NPI number | 1326302902 |
|---|---|
| LBN Legal business name | Kwong, Christina Grace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2012 |
| Last updated | Feb 20th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326302902 | NPPES |
| Illinois | MEDICAID | WUPI ENROLLED | |
| Illinois | MEDICAID | 200043292 | |
| Illinois | MEDICAID | 090117 |
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