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

Neung Kwon

Individual provider Family Nurse Practitioner · NPI 1649637075

Neung Kwon is a Nurse Practitioner in Woonsocket, Rhode Island. Qualified in 2015, 11 years ago. Practices with Minuteclinic Diagnostic of Illinois PLLC, a 108-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2016
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Practice location Address checks out

1 Cvs Dr
Woonsocket, RI 02895-6146
Phone: (866) 389-7272
Fax: (847) 695-8162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 277004203 (IL)

Record details

NPI number1649637075
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 14, 2016
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025
Mailing address80019th St N, Saint Petersburg, FL 33702-4109

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Minuteclinic Diagnostic Of Illinois Pllc — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Woonsocket