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Stella Kwon

NPI 1063811248 · on the registry since 2014

Practice

Address
1625 S Meridian Rd
Meridian, ID 83642
Phone
(208) 319-0606
Fax
(208) 319-0606
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-08-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho