JUSTIN K KWON PA-C
NPI 1881020295
Physician Assistant - Medical in Stanton, TN

Active since September 17, 2013
17 1ST ST E, STANTON, TN 38069(731) 548-2232(731) 548-2236 Get Directions Write a Review

NPPES record last updated: September 26, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Justin K Kwon Pa-c NPPES

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

JUSTIN K KWON PA-C (NPI 1881020295) is an individual medical provider in Stanton, Tennessee, licensed in Tennessee (2404) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1881020295
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJUSTIN K KWONCredential: PA-C
Location Address17 1ST ST EStanton, TN 38069-4426
Mailing Address17 1st St EStanton, TN 38069-4426 · (731) 548-2232 · Fax (731) 548-2236
Fax(731) 548-2236
Sole ProprietorNo
Enumeration DateSeptember 17, 2013
Last NPPES UpdateSeptember 26, 2014
NPI 1881020295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in TN · 2404
17 1ST ST E, Stanton, TN 38069

Other Identifiers 1

OtherPA2404TN · State License

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
17 1ST ST E
STANTON, TN 38069
Clinic/Center (Federally Qualified Health Center (FQHC))
17 1ST ST E
STANTON, TN 38069
Dentist
17 1ST ST E
STANTON, TN 38069

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 Justin Kwon's NPI number?

The NPI number for Justin Kwon is 1881020295. It was assigned to this individual provider in the NPPES registry on September 17, 2013.

Where is Justin Kwon located?

Justin Kwon practices at 17 1st St E, Stanton, TN 38069. The listed phone number is (731) 548-2232.

What is Justin Kwon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Justin Kwon was last updated on September 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.