Basic Information
Provider Information
NPI: 1356375406
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHON
FirstName: WOOJIN JAMES
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: CHON
OtherFirstName: W. JAMES
OtherMiddleName:  
OtherNamePrefix: DR.
OtherNameSuffix:  
OtherCredential: M.D.
OtherLastNameType: 2
Mailing Information
Address1: 901 E 104TH ST
Address2: MAILSTOP 400
City: KANSAS CITY
State: MO
PostalCode: 64131
CountryCode: US
TelephoneNumber: 8165028755
FaxNumber: 8169329670
Practice Location
Address1: 4320 WORNALL RD STE 240
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641115955
CountryCode: US
TelephoneNumber: 8169324655
FaxNumber: 8169327920
Other Information
ProviderEnumerationDate: 07/11/2006
LastUpdateDate: 11/16/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RN0300X2017020375MOY Allopathic & Osteopathic PhysiciansInternal MedicineNephrology

No ID Information.


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