Provider Demographics
NPI:1386912350
Name:KUEI, KIM T (PHARM D)
Entity type:Individual
Prefix:DR
First Name:KIM
Middle Name:T
Last Name:KUEI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 S PACIFIC COAST HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277
Mailing Address - Country:US
Mailing Address - Phone:310-540-2228
Mailing Address - Fax:
Practice Address - Street 1:535 S PACIFIC COAST HWY
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-4220
Practice Address - Country:US
Practice Address - Phone:310-540-2228
Practice Address - Fax:310-540-5905
Is Sole Proprietor?:No
Enumeration Date:2011-12-06
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60306183500000X
NY055131-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist