Individual
MR. KEVIN O KWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, MSN, AGACNP
Contact information
Practice address
713 E HEATHER CIR, AZUSA, CA 91702-1480
(323) 600-4373
Mailing address
713 E HEATHER CIR, AZUSA, CA 91702-1480
(323) 600-4373
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95021695
CA
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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