Search › New York › 122300000X
Kyoungsoo Jeon
NPI 1245728104 · on the registry since 2018 · sole proprietor
Practice
- Address
- 10765 Bennett Rd
Dunkirk, NY 14048 - Phone
- (716) 366-6822
- Clinicians at this address
- 2
Additional practice sites
- 625 Elmwood Ave # 683, Rochester, NY
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
390200000X - Licence states on file
- OH, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-15
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 New York