DR. KEVIN PETERSEN MD NPI 1205971066

NPI Information

DR. Kevin Petersen, MD is a specialist in Las Vegas, NV. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Kevin Petersen, MD NPI is 1205971066. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

653 N TOWN CENTER DR
LAS VEGAS, NV
ZIP 89144-514
Phone: (702) 256-7616
Fax: (702) 256-1481

The enumeration date for this NPI number is 2/20/2007 and was last updated on 7/9/2007.

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:

Other Identifiers

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

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