Tyson, Kevin Bertrand

Tyson, Kevin Bertrand is an individual health care provider with primary practice located at 2661 E Washington Blvd , Pasadena CA 91107-1412. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tyson, Kevin Bertrand can be contacted via phone (626) 798-4952.

Contact Information

Primary practice address
2661 E Washington Blvd Pasadena CA 91107-1412
Phone: (626) 798-4952
Fax: (626) 798-5260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A69141 California

Profile Details

NPI number 1194723874
LBN Legal business name Tyson, Kevin Bertrand
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 8th, 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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