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Individual

DR. LEON S. KWEI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-4172
(304) 388-4155
Mailing address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-4172
(304) 388-4155

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
15906
WV
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
15096
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001718040
BLUE CROSS BLUE SHIELD
WV
01
001723889
WV BCBS
WV
05
0073469000
WV
01
1053519
WVDWC
WV
01
1057343
WV DWC
WV
Enumeration date
12/28/2005
Last updated
01/25/2017
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