Soonnam Kwon, NP is a
Licensed Practical Nurse based in Sonoma, California. Soonnam Kwon is licensed to practice in California (license number 517096) and her current practice location is
761 Sonoma Vista Dr, Sonoma, California. She can be reached at her office (for appointments etc.) via phone at
(707) 509-5040.
NPI number for Soonnam Kwon is 1841679800 and her current mailing address is 761 Sonoma Vista Dr, Sonoma, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841679800.
Provider's Profile
| Full Name | Soonnam Kwon |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 761 Sonoma Vista Dr, Sonoma, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1841679800
- Provider Enumeration Date: 05/23/2015
- Last Update Date: 05/23/2015
Medical Identifiers
Medical identifiers for Soonnam Kwon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841679800 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 517096 (California) | 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. Soonnam 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 |
|---|
Soonnam Kwon, NP
761 Sonoma Vista Dr,
Sonoma, CA 95476-4057
Ph: (707) 509-5040 | Soonnam Kwon, NP
761 Sonoma Vista Dr,
Sonoma, CA 95476-4057
Ph: (707) 509-5040 |
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