Stephanie Pettus Kwon
MD | Pediatrics | Female
Stephanie Pettus Kwon, MD is a Charlotte, North Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Stephanie Pettus Kwon is
4501 Cameron Valley Pkwy, Ste 100, Charlotte, North Carolina - 28211-4297. She can be contacted on phone at
704-367-7400.
Stephanie Pettus Kwon is a sole proprietor of her business.
NPI number (Unique professional ID) for Stephanie Pettus Kwon is
1063772374 which was assigned by NPPES on 21 May, 2012 and it was last updated on 04 May, 2023.
Stephanie Pettus Kwon license number is
2015-00556 for Pediatrics (208000000X) in North Carolina.
Stephanie Pettus Kwon is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Stephanie Pettus Kwon basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Stephanie Pettus Kwon |
|---|
| Credential : | MD |
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| Gender : | Female |
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Business Address:
Stephanie Pettus Kwon address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4501 Cameron Valley Pkwy, Ste 100
Charlotte, NC, 28211-4297
United States |
|---|
| Phone Number : | 704-367-7400 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1063772374 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 May, 2012 |
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| Last Updated On : | 04 May, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stephanie Pettus Kwon are as mentioned. Primary taxonomy code for Stephanie Pettus Kwon, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 2015-00556 | NC |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
1350 S KINGS DR,
CHARLOTTE, NC, 28207-2134
United States | CHARLOTTE, NC | 704-446-1422 |
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA, SUITE 200
CHARLOTTE, NC, 28203-5866
United States | CHARLOTTE, NC | 704-381-8840 |
6235 BLAKENEY PARK DR, STE 100
CHARLOTTE, NC, 28277-5658
United States | CHARLOTTE, NC | 704-512-5060 |
332 N TRADE ST, STE 1500
MATTHEWS, NC, 28105-1728
United States | MATTHEWS, NC | 704-512-6820 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | skwon137284@CarolinasHealthcareSystem.direct-ci.com
| |
|
| 4501 Cameron Valley Pkwy, Ste 100
Charlotte, NC, 28211-4297
United States |
CONNECT
(CONNECT URL) | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
2.16.840.1.113883.3.667.2 | | OTHER
Other
CMS esMD eMDR |
| 100 N 6th St Ste 900A,
Minneapolis, MN, 55403-1516
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 19305
Charlotte, NC, 28219-9305
United States |
|---|
Business Location:
Patients can refer following map for directions to
Stephanie Pettus Kwon practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.