Organization
KENNETH P. TWAY, M.D., F.A.C.C., INC.
Active
Organization
KENNETH P. TWAY, M.D., F.A.C.C., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH PAUL TWAY M.D. (PRESIDENT)
(805) 546-9500
Entity
Organization
Contact information
Practice address
1106 PACIFIC ST, SAN LUIS OBISPO, CA 93401-3302
(805) 546-9500
(805) 546-9699
Mailing address
1106 PACIFIC ST, SAN LUIS OBISPO, CA 93401-3302
(805) 546-9500
(805) 546-9699
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G39106
CA
207RI0011X
Interventional Cardiology Physician
G39105
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G391050
—
CA
Enumeration date
12/26/2006
Last updated
10/16/2007
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