Kwon, Paul

Kwon, Paul is an individual health care provider with primary practice located at 422 17Th St , Lewiston ID 83501-2526. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Kwon, Paul can be contacted via phone (208) 743-4680.

Contact Information

Primary practice address
422 17Th St Lewiston ID 83501-2526
Phone: (208) 743-4680
Fax: (208) 743-1756
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY-202538 Idaho
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY 00002290 Washington

Profile Details

NPI number 1861709990
LBN Legal business name Kwon, Paul
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2010
Last updated Sep 10th, 2010 - about 15 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 1861709990 NPPES
Idaho MEDICAID 806177700

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