Kenneth Tye in West Covina - Cardiovascular Disease
Kenneth Tye - NPI 1265433965
Kenneth Tye is a Cardiovascular Disease in West Covina, California. Kenneth Tye practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Kenneth Tye is 1265433965. The last update date is 2007-07-09.
Kenneth Tye's current location address is 1250 S Sunset Ave, West Covina, California. You can contact this provider via phone number 6269606588 and fax number 6263380688. The mailing address for Kenneth Tye is 1250 S Sunset Ave, West Covina, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kenneth Tye |
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Address | 1250 S Sunset Ave, West Covina, California |
Phone Number | 6269606588 |
Fax Number | 6263380688 |
Sole Proprietor | X |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1265433965 |
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Provider Enumeration Date | 2005-08-03 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 1250 S Sunset Ave |
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City | West Covina |
State | California (CA) |
Post Code | 917903961 |
Phone Number | 6269606588 |
Fax Number | 6263380688 |
Provider's Primary Taxonomy Detail
Speciality | Cardiovascular Disease |
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Taxonomy | 207Rc0000X |
Licence No | A32035 |
Definition: 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. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
A32035 | AR | STATE LICENSE NUMBER |
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What is the unique 10-digit identification code issued to Kenneth Tye by the Centers for Medicare & Medicaid Services?
The Kenneth Tye has been assigned the NPI (National Provider Identifier) 1265433965 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Kenneth Tye located?
The Kenneth Tye is located at 1250 S Sunset Ave, West Covina, CA 917903961.
What is Kenneth Tye's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kenneth Tye is Cardiovascular Disease, and the corresponding taxonomy classification code for this specialized field is 207Rc0000X.
On what date was the 1265433965 assigned to Kenneth Tye?
The Kenneth Tye was issued its 1265433965 on 2005-08-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kenneth Tye's details last updated?
The information pertaining to the Kenneth Tye, including its address, specialty, and other details, was most recently updated on 2007-07-09.