Conway, Peter Mitchel

Conway, Peter Mitchel is an individual health care provider with primary practice located at 3900 Kresge Way Suite 31, Louisville KY 40207-4660. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Conway, Peter Mitchel can be contacted via phone (502) 894-0664.

Contact Information

Primary practice address
3900 Kresge Way Suite 31 Louisville KY 40207-4660
Phone: (502) 894-0664
Fax: (502) 238-2835
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 19967 Kentucky
Other Service Providers / Specialist 174400000X 19967 Kentucky

Profile Details

NPI number 1750385639
LBN Legal business name Conway, Peter Mitchel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Mar 4th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750385639 NPPES
Indiana MEDICAID 100359670
Indiana MEDICAID 64199672

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