Justin K Kwon, PA-C is a
Physician Assistant - Medical based in Stanton, Tennessee. Justin K Kwon is licensed to practice in Tennessee (license number 2404) and his current practice location is
17 1st St E, Stanton, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(731) 548-2232.
NPI number for Justin K Kwon is 1881020295 and his current mailing address is 17 1st St E, Stanton, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881020295.
Provider's Profile
| Full Name | Justin K Kwon |
|---|
| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 17 1st St E, Stanton, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1881020295
- Provider Enumeration Date: 09/17/2013
- Last Update Date: 09/26/2014
Medical Identifiers
Medical identifiers for Justin K Kwon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881020295 | NPI | - | NPPES |
| PA2404 | Other | TN | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 2404 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Justin K Kwon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Justin K Kwon, PA-C
17 1st St E,
Stanton, TN 38069-4426
Ph: (731) 548-2232 | Justin K Kwon, PA-C
17 1st St E,
Stanton, TN 38069-4426
Ph: (731) 548-2232 |
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