Provider Demographics
NPI:1578906392
Name:CHOW, KWONG-HON (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:KWONG-HON
Middle Name:
Last Name:CHOW
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:KEVIN
Other - Middle Name:
Other - Last Name:CHOW
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:340 EXEMPLA CIR STE 300
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-3384
Mailing Address - Country:US
Mailing Address - Phone:303-673-1390
Mailing Address - Fax:720-627-6407
Practice Address - Street 1:340 EXEMPLA CIR STE 300
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-3384
Practice Address - Country:US
Practice Address - Phone:303-673-1390
Practice Address - Fax:720-627-6407
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-10
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CODR.0064263207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program