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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 1326302902 NPPES
Illinois MEDICAID WUPI ENROLLED
Illinois MEDICAID 200043292
Illinois MEDICAID 090117

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