SearchIdaho103T00000X

Paul Kwon, PH.D

NPI 1861709990 · on the registry since 2010

Practice

Address
422 17th St
Lewiston, ID 83501
Phone
(208) 743-4680
Fax
(208) 743-1756
Organisation at this address
Dr. Kracke And Associates P A
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
103T00000X
103T00000X
Also registered as
103T00000X
Licence states on file
ID, WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-09-10

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