person
Justin K Kwon, PA-C
Medical Physician Assistant in Stanton, Tennessee
NPI 1881020295

Justin K Kwon is a Medical Physician Assistant based in Stanton, TN and is specialized in Medical. Justin K Kwon practices in Stanton, TN and has the professional credentials of PA-C. The NPI Number for Justin K Kwon is 1881020295 and holds a License No. 2404 (Tennessee).

The current practice location address for Justin K Kwon is 17 1St St E, Stanton, TN and can be reached out via phone at 731-548-2232 and via fax at 731-548-2236.

Location: 17 1St St E, Stanton, TN, 38069-4426
person
Provider Profile Details
NPI Number
1881020295
Provider Name
Justin K Kwon
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
17 1St St E, Stanton, TN, 38069-4426
Phone Number
731-548-2232
Fax Number
731-548-2236
Provider Enumeration Date
09/17/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA2404 01 TN STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
17 1St St E
City
State
Zip
38069-4426
Phone Number
731-548-2232
Fax Number
731-548-2236
person
Provider Business Mailing Address Details
Address
17 1St St E
City
State
Zip
38069-4426
Phone Number
731-548-2232
Fax Number
731-548-2236
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
2404 (Tennessee)
Definition
Definition to come...
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