Provider Demographics
NPI:1306946082
Name:WIN, KEVIN K (MD)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:K
Last Name:WIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2868 CRYSTAL RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-3668
Mailing Address - Country:US
Mailing Address - Phone:310-268-3221
Mailing Address - Fax:310-268-3052
Practice Address - Street 1:11301 WILSHIRE BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90073-1003
Practice Address - Country:US
Practice Address - Phone:310-268-3221
Practice Address - Fax:310-268-3052
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-23
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
IL207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology