SOON WOOK KWON MD
NPI 1376397422
General Practice in Jbsa Lackland, TX
About Soon Wook Kwon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOON WOOK KWON MD (NPI 1376397422) is an individual general practice provider in Jbsa Lackland, Texas, licensed in Nebraska (37044) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Soon Wook Kwon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JBSA LACKLAND, TX 78236
JBSA LACKLAND, TX 78236
LACKLAND AFB, TX 78236
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Soon Kwon's NPI number?
The NPI number for Soon Kwon is 1376397422. It was assigned to this individual provider in the NPPES registry on April 15, 2024.
Where is Soon Kwon located?
Soon Kwon practices at 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236. The listed phone number is (210) 292-5350.
What is Soon Kwon's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Soon Kwon enrolled in Medicare?
Yes. Soon Kwon is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Soon Kwon was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Soon Wook Kwon, MD · NPI 1376397422
General Practice physician in Jbsa Lackland, Texas. Individual provider, active in the CMS NPPES registry since April 15, 2024.
## Identity
- **NPI:** 1376397422 (Entity type: Individual)
- **Enumerated:** April 15, 2024
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 37044 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** 1100 WILFORD HALL LOOP, Jbsa Lackland, TX 78236-5638
- **Phone:** (210) 292-5350
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1376397422) · Data from the CMS NPPES public registry.