Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC007728L | PA |
NPI | 1013041656 |
---|---|
Provider Name | Dr. Joseph Y Kwon |
First Address | Lafayette Hill, PA 19444-1503 |
Second Address | Huntingdon Valley, PA 19006-1738 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2007 |
Last Update Date | 08/07/2007 |