Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVIN PETERSEN, MD
Active Sole ProprietorDR. KEVIN PETERSEN, MD is a Specialist healthcare provider located in LAS VEGAS, Nevada. NPI 1205971066 is currently active in the NPPES registry. Verify at CMS.
Specialist · LAS VEGAS, NV
Registration Details
- NPI Number
- 1205971066
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 20, 2007 (19.52089621313 yrs)
- Last Updated
- Jul 9, 2007
- License
-
9665 (NV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
653 N TOWN CENTER DRLAS VEGAS, NV, 891440514Browse NV providers · Browse ZIP 89144
- Phone
- 7022567616
- Fax
- 7022561481
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in LAS VEGAS, NV
| Name | Credential | NPI |
|---|---|---|
| DR. KEITH G BOMAN | M.D. | 1093719338 |
| DR. JACK EBRAHIMPOUR ABRAMS | M.D. | 1780684571 |
| DR. GREGORY K. BRYAN | M.D. | 1598765984 |
| DR. JON L SIEMS | M.D. | 1528068640 |
| DR. HANS-JORG W ROSLER | M.D. | 1457345845 |
| MR. DANIEL J BROESKE | M.D. | 1013901750 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.