Provider Demographics
NPI:1750810495
Name:KWEI, CHARMAINE (NP)
Entity type:Individual
Prefix:
First Name:CHARMAINE
Middle Name:
Last Name:KWEI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3601 S 9TH ST RM 6
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-9538
Mailing Address - Country:US
Mailing Address - Phone:269-488-3061
Mailing Address - Fax:269-488-3081
Practice Address - Street 1:3601 S 9TH ST RM 6
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-9538
Practice Address - Country:US
Practice Address - Phone:269-488-3061
Practice Address - Fax:269-488-3081
Is Sole Proprietor?:No
Enumeration Date:2017-06-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704209166363LA2200X, 363LG0600X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology