Rose, Richard Sun Kyu Kwan

Rose, Richard Sun Kyu Kwan is an individual health care provider with primary practice located at 500 Foothill Dr , Slc UT 84148-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Rose, Richard Sun Kyu Kwan can be contacted via phone (801) 582-1565.

Contact Information

Primary practice address
500 Foothill Dr Slc UT 84148-0001
Phone: (801) 582-1565
Fax: (801) 584-2576
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5756670-1205 Utah
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD60136118 Washington

Profile Details

NPI number 1447272323
LBN Legal business name Rose, Richard Sun Kyu Kwan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2006
Last updated Jan 11th, 2012 - about 14 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 1447272323 NPPES
Washington Other 9370535 AETNA
Washington MEDICAID 1447272323 AETNA
Washington Other 0211RO AETNA
Washington Other 0260516 AETNA
Washington MEDICAID 8567380 AETNA

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