Provider Demographics
NPI:1659651974
Name:LWIN, KIKI YH (MD)
Entity Type:Individual
Prefix:
First Name:KIKI
Middle Name:YH
Last Name:LWIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KHIN KAY
Other - Middle Name:
Other - Last Name:THWE THWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1020
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95201-3120
Mailing Address - Country:US
Mailing Address - Phone:209-468-6000
Mailing Address - Fax:209-468-7042
Practice Address - Street 1:500 W HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:FRENCH CAMP
Practice Address - State:CA
Practice Address - Zip Code:95231-9693
Practice Address - Country:US
Practice Address - Phone:209-468-6000
Practice Address - Fax:209-468-7042
Is Sole Proprietor?:No
Enumeration Date:2011-08-17
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI69-320207Q00000X
TXR6040207Q00000X
IDMC-0032207Q00000X
NV17456207Q00000X
CODR.0059601207Q00000X
CAA127424207Q00000X
WAMD60790094207Q00000X
ORMD184795207Q00000X
NMMD2017-0861207Q00000X
MTMED-PHYS-LIC-62342207Q00000X
MN63256207Q00000X
WY11401C207Q00000X
IL036144949207Q00000X
AZ54540207QG0300X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine