Provider Demographics
NPI:1245611490
Name:HODGSON, CHRISTINA KWON (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:KWON
Last Name:HODGSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SOOK-KYUNG
Other - Middle Name:CHRISTINA
Other - Last Name:KWON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:DEPT OF PATHOLOGY
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-384-8054
Mailing Address - Fax:319-467-5193
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:DEPT OF PATHOLOGY
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-384-8054
Practice Address - Fax:319-467-5193
Is Sole Proprietor?:No
Enumeration Date:2015-06-13
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD-45909207ZP0102X
MO2021013356207ZP0102X
KS04-44491207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology