Provider Demographics
NPI:1215131099
Name:KWON, ROBERT KANG (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:KANG
Last Name:KWON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3108 MIDWAY RD
Mailing Address - Street 2:STE 103
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-6383
Mailing Address - Country:US
Mailing Address - Phone:214-919-5001
Mailing Address - Fax:972-680-0099
Practice Address - Street 1:3108 MIDWAY RD
Practice Address - Street 2:STE 103
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-6383
Practice Address - Country:US
Practice Address - Phone:214-919-5001
Practice Address - Fax:972-608-0099
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2019-01-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXN88062082S0105X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand