Joo, Kwang

Joo, Kwang is an individual health care provider with primary practice located at 2950 Elmwood Ave Kenmore Mercy Hospital, Kenmore NY 14217-1304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy, which is considered as his primary health care specialty. Joo, Kwang can be contacted via phone (716) 853-1616.

Contact Information

Primary practice address
2950 Elmwood Ave Kenmore Mercy Hospital Kenmore NY 14217-1304
Phone: (716) 853-1616
Fax: (716) 829-2348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy 207UN0902X 131744 New York

Profile Details

NPI number 1427013341
LBN Legal business name Joo, Kwang
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Nov 29th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427013341 NPPES
New York MEDICAID 00865210

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