Kang Hak Kwon, CADC-I

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

07458-I Issued in NV

Practice address

4011 McLeod Dr
Las Vegas, NV 89121-4305

Phone

(702) 472-7627

NPI assigned

Mar 4, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1144087404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5374 PINE RANCH ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131847",
            "telephone_number": "702-595-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 MCLEOD DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214305",
            "telephone_number": "702-472-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "KANG",
        "middle_name": "HAK",
        "name_prefix": "Mr.",
        "credential": "CADC-I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "07458-I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bo Kwok, DMD
• Calvin Sea-Ho Kwok, LAT, ATC
• Camy Kwok, DMD
• Donald Lawrence Kwok, M.D.
• Gregory Martin Kwok, M.D.
• Raymond Kwon, MD
• Andrew Kwong, O.D.
• Henry Ky, MD
• Samantha Ky
• Sharkira Kyebalaba

• Addiction (Substance Use Disorder) Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Addiction (Substance Use Disorder) Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.