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Miyata, Kenji Sean

CPSO#: 79446

MEMBER STATUS

Active Member as of 01 Jul 2003

CURRENT OR PAST CPSO REGISTRATION CLASS

Independent Practice as of 22 Jun 2005

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: English

Education: University of Toronto, 2003

Practice Information

Primary Location of Practice

65 Roy Boates Ave
Prince County Hospital
Summerside PE C1N 6M8
Phone: 9024384200

Additional Practice Location(s)

Scope Clinic
470 Chrysler Drive
Brampton ON L6S 0C1
Canada
Phone: (905) 790-9030
Fax: (905) 790-7487
County: Regional Municipality of Peel
Electoral District: 05

Professional Corporation Information

Corporation Name: Kenji Miyata Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: Aug 28 2008

Shareholders:
Dr. K. Miyata ( CPSO# 79446 )

Business Address:
Headwaters Health Care Centre
100 Rolling Hills Drive
Orangeville ON L9W 4X9
Phone Number: (519) 941-2410

Medical Licences in Other Jurisdictions

Effective September 1, 2015, the College by-laws require the College to indicate on the register if the member has a licence or is registered to practise medicine in a jurisdiction outside Ontario, if this is known to the College.

Prince Edward Island

Hospital Privileges

Hospital	Location
Headwaters Health Care Centre	Orangeville

Specialties

Specialty	Issued On	Type
Family Medicine	Effective:15 Jun 2005	CFPC Specialist

Terms and Conditions

(1) Dr. KENJI SEAN MIYATA may practise only in the areas of medicine in which Dr. MIYATA is educated and experienced.

Postgraduate Training

Please note: This information may not be a complete record of postgraduate training.

McMaster University, 01 Jul 2003 to 30 Jun 2004
PostGrad Yr 1 - Family Medicine

McMaster University, 01 Jul 2004 to 30 Jun 2005
PostGrad Yr 2 - Family Medicine

McMaster University, 01 Jul 2005 to 30 Jun 2006
PostGrad Yr 3 - Family Medicine

Registration History

Action	Issue Date
First certificate of registration issued: Postgraduate Education Certificate	Effective: 01 Jul 2003
Transfer of class of registration to: Independent Practice Certificate	Effective: 22 Jun 2005