1. Home
  2. Directory
  3. Utah
  4. Salt Lake City
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MR. SEODAM KWAK
NPI 1447932140
Student in an Organized Health Care Education/Training Program in Salt Lake City, UT

Active since August 02, 2023
27 S MARIO CAPECCHI DR, SALT LAKE CITY, UT 84112(801) 581-7498 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Seodam Kwak NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SEODAM KWAK (NPI 1447932140) is an individual student in an organized health care education/training program in Salt Lake City, Utah and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1447932140
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. SEODAM KWAK
Location Address27 S MARIO CAPECCHI DRSalt Lake City, UT 84112-5888
Mailing Address27 S Mario Capecchi DrSalt Lake City, UT 84112-5888 · (801) 581-7498
Phone(801) 581-7498
Sole ProprietorNo
Enumeration DateAugust 2, 2023
NPPES CertifiedAugust 2, 2023
✔ NPI 1447932140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

27 S MARIO CAPECCHI DR, Salt Lake City, UT 84112
Open in Google Maps ↗

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.

MADISON FISHER
Student in an Organized Health Care Education/Training Program
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-7498
ALEXANDRA SARAH VITALE
Student in an Organized Health Care Education/Training Program
27 S MARIO CAPECCHI DR
SLC, UT 84112
Salt Lake County (801) 213-9500
BRYAN RADMALL
Student in an Organized Health Care Education/Training Program
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-7489
DANIELLE MARIE KELLY
Student in an Organized Health Care Education/Training Program
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 425-8189
KARLI V LUDWIG MD
Student in an Organized Health Care Education/Training Program
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-6437
KADE WAGERS MK
Student in an Organized Health Care Education/Training Program
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-7498
AZRAA SAMIN AYESHA MD
Student in an Organized Health Care Education/Training Program
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
GEORGIA VEVERKA
Student in an Organized Health Care Education/Training Program
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-7498

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 Seodam Kwak's NPI number?

The NPI number for Seodam Kwak is 1447932140. It was assigned to this individual provider in the NPPES registry on August 2, 2023.

Where is Seodam Kwak located?

Seodam Kwak practices at 27 S Mario Capecchi Dr, Salt Lake City, UT 84112. The listed phone number is (801) 581-7498.

What is Seodam Kwak's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Seodam Kwak was last updated on August 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.