# DR. PETER MITCHEL CONWAY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1750385639
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 19967 | KY | Yes |
| 208600000X | Surgery Physician | 19967 | KY | — |

## Other

- **Enumeration date:** 06/09/2005
- **Last updated:** 03/04/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100359670 | — | IN |
| 05 | — | 64199672 | — | KY |