Kevin Kwan

NPI #1316554041 in Grosse Ile, Michigan

Provider Information

NPI Number: 1316554041
Entity Type: Individual
Name: Kevin Kwan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Sep 27, 2020
Last Updated: Sep 27, 2020

Practice Location

Address: 9870 BYROMAR LN
City: Grosse Ile
State: Michigan
ZIP Code: 48138-1207
Phone: (734) 752-0239

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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