Individual
DR. KENYON TSAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1911 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4131
(805) 542-6621
Mailing address
1911 JOHNSON AVE, SAN LUIS OBISPO, CA 93401
(805) 542-6621
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
54298
MN
207P00000X
Emergency Medicine Physician
Primary
A125059
CA
Other
Enumeration date
10/20/2009
Last updated
09/15/2017
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