Tye, Kenneth

Tye, Kenneth is an individual health care provider with primary practice located at 1250 S Sunset Ave , West Covina CA 91790-3962. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Tye, Kenneth can be contacted via phone (626) 960-6588.

Contact Information

Primary practice address
1250 S Sunset Ave West Covina CA 91790-3962
Phone: (626) 960-6588
Fax: (626) 338-0688
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A32035 California

Profile Details

NPI number 1265433965
LBN Legal business name Tye, Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Jul 9th, 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 1265433965 NPPES
Arkansas Other A32035 STATE LICENSE NUMBER

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