Mary Kwon is a Pain Medicine in Saint Paul, Minnesota. Mary Kwon practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Mary Kwon is 1790797645. The last update date is 2007-07-08.
Mary Kwon's current location address is 2550 University Ave W, Saint Paul, Minnesota. You can contact this provider via phone number 6513327474 and fax number 6513327475. The mailing address for Mary Kwon is 2550 University Ave W, Saint Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Kwon |
|---|---|
| Address | 2550 University Ave W, Saint Paul, Minnesota |
| Phone Number | 6513327474 |
| Fax Number | 6513327475 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1790797645 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2550 University Ave W |
|---|---|
| City | Saint Paul |
| State | Minnesota (MN) |
| Post Code | 551141052 |
| Phone Number | 6513327474 |
| Fax Number | 6513327475 |
Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
|---|---|
| Taxonomy | 2081P2900X |
| Licence No | 27500 |
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Definition: A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated wit |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 376001 | MN | PREFERRED ONE | |
| 23-08420 | MN | MEDICA | |
| 09128KW | MN | BLUE CROSS | |
| 357573000 | MN | -- |
Post Comment/ Review Below
What is the Mary Kwon's 1790797645?
The Mary Kwon's NPI (National Provider Identifier) Number is 1790797645. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Mary Kwon is physically located?
The Mary Kwon is situated at the following address: 2550 University Ave W, Saint Paul, MN 551141052.
What is Mary Kwon's area of expertise and its corresponding taxonomy classification?
The Mary Kwon's field of specialization is Pain Medicine, and it falls under the taxonomy code 2081P2900X, which categorizes healthcare providers based on their areas of practice.
On what date did Mary Kwon receive its 1790797645 assignment from the Centers for Medicare & Medicaid Services?
The Mary Kwon was assigned its 1790797645 on 2006-08-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Mary Kwon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mary Kwon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY