Kevin Bertrand Tyson in Pasadena - Internal Medicine
Kevin Bertrand Tyson - NPI 1194723874
Kevin Bertrand Tyson is a Internal Medicine in Pasadena, California. Kevin Bertrand Tyson practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kevin Bertrand Tyson is 1194723874. The last update date is 2007-07-08.
Kevin Bertrand Tyson's current location address is 2661 E Washington Blvd, Pasadena, California. You can contact this provider via phone number 6267984952 and fax number 6267985260. The mailing address for Kevin Bertrand Tyson is 2661 E Washington Blvd, Pasadena, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kevin Bertrand Tyson |
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Address | 2661 E Washington Blvd, Pasadena, California |
Phone Number | 6267984952 |
Fax Number | 6267985260 |
Sole Proprietor | X |
Credentials | MD |
NPI Number Detail
NPI Number | 1194723874 |
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Provider Enumeration Date | 2005-07-07 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2661 E Washington Blvd |
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City | Pasadena |
State | California (CA) |
Post Code | 911071412 |
Phone Number | 6267984952 |
Fax Number | 6267985260 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Licence No | A69141 |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique identification code assigned to Kevin Bertrand Tyson by the Centers for Medicare & Medicaid Services?
The Kevin Bertrand Tyson has been issued the NPI (National Provider Identifier) 1194723874. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kevin Bertrand Tyson is physically located?
The Kevin Bertrand Tyson is physically situated at the following address: 2661 E Washington Blvd, Pasadena, CA, 911071412.
What is the Kevin Bertrand Tyson's area of specialization and corresponding taxonomy classification?
The Kevin Bertrand Tyson's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1194723874 to Kevin Bertrand Tyson?
The Kevin Bertrand Tyson received its 1194723874 assignment from the Centers for Medicare & Medicaid Services on 2005-07-07.
As of what date were the Kevin Bertrand Tyson's details last updated?
The information pertaining to the Kevin Bertrand Tyson, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY