KENNETH P. TWAY M.D. F.A.C.C. INC. NPI 1902961444

NPI Information

NPI: 1902961444
Provider Name: KENNETH P. TWAY, M.D., F.A.C.C., INC.
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1106 PACIFIC ST
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 546-9500
Get Directions

KENNETH P. TWAY, M.D., F.A.C.C., INC. is a cardiovascular disease internal medicine in San Luis Obispo, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. KENNETH P. TWAY, M.D., F.A.C.C., INC. NPI is 1902961444. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1106 PACIFIC ST
SAN LUIS OBISPO, CA
ZIP 93401-302
Phone: (805) 546-9500
Fax: (805) 546-9699

The provider's authorized official is Kenneth Paul Tway .
The authorized official title is President and has the following contact phone number (805) 546-9500.

The enumeration date for this NPI number is 12/26/2006 and was last updated on 10/16/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RI0011X	Internal Medicine	Interventional Cardiology	G39105	CALIFORNIA	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	G39106	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	00G391050	MEDICAID	CALIFORNIA
2	G39105	MEDICARE PIN	CALIFORNIA
3	A47705	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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