Tway, Kenneth P

Tway, Kenneth P is an sole proprietor health care provider with primary practice located at 1106 Pacific St , San Luis Obispo CA 93401-3302. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Tway, Kenneth P can be contacted via phone (805) 546-9500.

Contact Information

Primary practice address
1106 Pacific St San Luis Obispo CA 93401-3302
Phone: (805) 546-9500
Fax: (805) 546-9699
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G39105 California
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X G39105 California

Profile Details

NPI number 1396924189
LBN Legal business name Tway, Kenneth P
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2007
Last updated Oct 29th, 2007 - about 17 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 1396924189 NPPES
California MEDICAID 00G391050

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