Individual
KEVIN KWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9870 BYROMAR LN, GROSSE ILE, MI 48138-1207
(734) 752-0239
Mailing address
9870 BYROMAR LN, GROSSE ILE, MI 48138-1207
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302038270
MI
Other
Enumeration date
09/27/2020
Last updated
09/27/2020
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