Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Keun Soo Kwon, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174226104

Dr. Keun Soo Kwon, MD is a Student in an Organized Health Care Education/Training Program in Verona, New Jersey. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

799 Bloomfield Ave Ste 201
Verona, NJ 07044-1374
Phone: (973) 746-7050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1174226104
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2023
Last updated in NPPESMarch 27, 2023
Certification dateMarch 22, 2023

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