Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENT LEE PETERSON, D.P.M.
Active Sole ProprietorKENT LEE PETERSON, D.P.M. is a Podiatrist healthcare provider located in PRESCOTT, Arizona. NPI 1316162647 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · PRESCOTT, AZ
Registration Details
- NPI Number
- 1316162647
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 13, 2007 (19.32948854136 yrs)
- Last Updated
- Apr 7, 2017
- License
-
0261 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
919 12TH PLSUITE 10PRESCOTT, AZ, 863051433Browse AZ providers · Browse ZIP 86305
- Phone
- 9287760770
- Fax
- 9287768991
- Primary Specialty
-
Podiatrist
213E00000X
Other Podiatrist Providers in PRESCOTT, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. SAMUEL IRWIN DOLNICK | D.P.M. | 1073506259 |
| DR. JOSEPH EDWIN KNOCHEL | D.P.M. | 1710942768 |
| DR. PIERRE N MOMJIAN | D.P.M. | 1952331043 |
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.