MR. Seodam Kwak is a student in an organized health care education training program in Salt Lake City, UT. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MR. Seodam Kwak NPI is 1447932140. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT
ZIP 84112-888
Phone: (801) 581-7498
The enumeration date for this NPI number is 8/2/2023 and was last updated on 8/2/2023.