Individual
CHARMAINE KAWEHILANI AU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-8411
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4922495-1205
UT
208000000X
Pediatrics Physician
Primary
4922495-1205
UT
208M00000X
Hospitalist Physician
4922495-1205
UT
Other
Enumeration date
05/01/2008
Last updated
12/29/2015
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