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NPI Code Detail

MEDICARE: HYUNSUE JUSTIN SON DO

MEDICARE: HYUNSUE JUSTIN SON DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1982546321
Entity Type Code : Individual
Provider Name (Legal Business Name) : HYUNSUE JUSTIN SON DO
Provider Business Mailing Address
First Line : 4401 WORNALL RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-3241
Country : US
Telephone Number : 816-404-5709
Fax Number :
Provider Business Practice Location Address
First Line : 4401 WORNALL RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-3241
Country : US
Telephone Number : 816-404-5709
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ HYUNSUE JUSTIN SON DO” Practice Location

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