Kang Kwon, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301041037 Issued in MI

Practice address

4448 Oakbridge Dr
Suite C
Flint, MI 48532-5484

Phone

(810) 732-4560

Fax

(810) 732-1177

NPI assigned

Aug 2, 2006

Last updated

Nov 2, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kang Kwon MD, PC

  • Psychiatry Physician
  • Flint, MI
  • NPI 1538230735
  NPD (past) Authorized official

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1982611711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4448 OAKBRIDGE DR",
            "address_2": "SUITE C",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325484",
            "telephone_number": "810-732-4560",
            "fax_number": "810-732-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4448 OAKBRIDGE DR",
            "address_2": "SUITE C",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325484",
            "telephone_number": "810-732-4560",
            "fax_number": "810-732-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "KANG",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301041037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "2602534242",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3181910",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Keith Kurylo, BA, EMT-P/FTO
• Halina G Kusz, MD
• Hanna Kutchey
• Bridget Ellen Kutsche
• Karri Lynn Kuzma, LMT
• Cassandra Kyllonen, MS
• Shandelle Lynn Kyrolainen, LMSW
• L Wynette Murphy MD PC
• Gina Laajala, LLMSW
• Jeremy Joseph Labelle, PA-C

• Psychiatry Physician in Flint, MI
• Providers in Flint, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.