DR. KRISTINA C. KWON


Address: 365 118th Ave Se Ste 118, Bellevue, WA 98005-3557
Phone: 4256350665

DR. KRISTINA C. KWON (NPI# 1053695023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053695023
Entity Type Individual
Full Name DR. KRISTINA C. KWON
Credential PHD
Practice Address 365 118th Ave Se Ste 118
Bellevue
WA 98005-3557
Practice Telephone 4256350665
Practice Fax Number 4254542966
Mailing Telephone 4256350665
Mailing Fax Number 4254542966
Enumeration Date 2011-10-07
Last Update Date 2011-10-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
PY00003102 WA Behavioral Health & Social Service Providers

Office Location

Street Address 365 118TH AVE SE STE 118
City BELLEVUE
State WA
Zip Code 98005-3557

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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

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NPI Name Taxonomy Address Enumeration
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1801038120 Kristen Michener Psychologist 5150 Village Park Dr Se, Bellevue, WA 98006-6652 2009-04-01
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1942439203 Charles Muiu Psychologist 1103 Galvin Rd S, Area 'n', Bellevue, NE 68005-3002 2009-07-08
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1730337296 Katerina G. Riabova, M.d. P.s. Psychologist 2820 Northup Way Ste 105, Bellevue, WA 98004-1438 2008-09-08
1174655138 Renee R Hartman Psychologist 11808 Northup Way, Ste W150, Bellevue, WA 98005-1936 2007-03-12

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1689060964 Anne Bernard Arnett Psychologist Chdd Uw, Seattle, WA 98195-0001 2015-04-13
1982033940 Elizabeth J. Wasson Psychologist 4033 E Madison St Ste 203, Seattle, WA 98112-3104 2013-11-10
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Competitor

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City BELLEVUE
Zip Code 98005

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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