Individual
DR. PETER MITCHEL CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3900 KRESGE WAY, SUITE 31, LOUISVILLE, KY 40207-4660
(502) 894-0664
(502) 238-2835
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 253-1035
(502) 253-1037
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19967
KY
208600000X
Surgery Physician
19967
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100359670
—
IN
05
—
64199672
—
KY
Enumeration date
06/09/2005
Last updated
03/04/2016
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