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Soojung Kwon

Internist Geriatric Medicine

2600 Greenbush St
Lafayette , Indiana 47904-2477

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Soojung Kwon

Internist Geriatric Medicine

2600 Greenbush St
Lafayette , Indiana 47904-2477

(765) 448-8000

Write a Review Save Call

Soojung Kwon

Internist Geriatric Medicine

2600 Greenbush St
Lafayette , Indiana 47904-2477

(765) 448-8000 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Internist
  • Geriatric Medicine

Languages spoken

  • English

Location

2600 Greenbush St Lafayette , Indiana 47904-2477

First Address

  • Soojung Kwon
  • Po Box 5545
  • Lafayette, IN
  • Zip : 47903-5545
  • Phone : (765) 448-8000

Second Address

  • Soojung Kwon
  • 2600 Greenbush St
  • Lafayette, IN
  • Zip : 47904-2477
  • Phone : (765) 448-8000

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FAQs


Where did Soojung Kwon attend graduate school?

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Where did Soojung Kwon do her residency?

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Where did Soojung Kwon do her fellowship?

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Is Soojung Kwon board certified?

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In what state does Soojung Kwon practice in?

Indiana

Where is Soojung Kwon ’s practice located?

2600 Greenbush St , Lafayette, Indiana, 47904-2477

What is Soojung Kwon ’s gender?

Female

Is Soojung Kwon a sole practitioner?

No

Is Soojung Kwon accepting new patients?

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What languages does Soojung Kwon speak?

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Does Soojung Kwon accept insurance?

Yes, Soojung Kwon accepts insurance

Does Soojung Kwon offers telemedicine?

Soojung Kwon has not indicated if she offers telemedicine

What is Soojung Kwon ’s professional license number?

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What is Soojung Kwon ’s NPI number?

1083683320

Does Soojung Kwon have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207R00000X Internist 043249 CT
N 111NI0900X Internist 043249 CT
N 207RG0300X Geriatric Medicine 043249 CT

National Provider Identifier

NPI 1083683320
Provider Name Soojung Kwon
First Address Lafayette, IN 47903-5545
Second Address Lafayette, IN 47904-2477
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 17/03/2006
Last Update Date 05/01/2017

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
000001029107 ANTHEM PROVIDER NUMBER (01) IN
001432492 (05) CT
201373820 (05) IN
I32685 (02) CT

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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