MARY KWON MD NPI 1790797645

NPI Information

NPI: 1790797645
Provider Name: MARY KWON, MD
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Individual

Specialization: Pain Medicine

Address:
2550 UNIVERSITY AVE W
SUITE 189S
SAINT PAUL, MN
ZIP 55114
Phone: (651) 332-7474
Get Directions

Mary Kwon, MD is a pain medicine physical medicine rehabilitation in Saint Paul, MN. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. Mary Kwon, MD NPI is 1790797645. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2550 UNIVERSITY AVE W
SUITE 189S
SAINT PAUL, MN
ZIP 55114-052
Phone: (651) 332-7474
Fax: (651) 332-7475

The enumeration date for this NPI number is 8/12/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2081P2900X	Physical Medicine & Rehabilitation	Pain Medicine	27500	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	376001	OTHER	MINNESOTA	PREFERRED ONE
2	A95389	MEDICARE UPIN	MINNESOTA
3	09128KW	OTHER	MINNESOTA	BLUE CROSS
4	23-08420	OTHER	MINNESOTA	MEDICA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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