Provider Demographics
NPI:1295359404
Name:ALFRED KWON DPM
Entity Type:Organization
Organization Name:ALFRED KWON DPM
Other - Org Name:LITTLETON FOOT AND ANKLE PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:
Authorized Official - Last Name:KWON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-933-5048
Mailing Address - Street 1:10268 W CENTENNIAL RD STE 104
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-6423
Mailing Address - Country:US
Mailing Address - Phone:303-933-5048
Mailing Address - Fax:844-269-7473
Practice Address - Street 1:10268 W CENTENNIAL RD STE 104
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-6423
Practice Address - Country:US
Practice Address - Phone:303-933-5048
Practice Address - Fax:844-269-7473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-03
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty