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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAY T. PETERSON SR., M.D.

Active

JAY T. PETERSON SR., M.D. is a Hematology healthcare provider located in MISSION HILLS, Kansas. NPI 1376515726 is currently active in the NPPES registry. Verify at CMS.

Hematology · MISSION HILLS, KS

Registration Details

NPI Number
1376515726
Provider Type
Individual
Gender
Male
NPI Issued
Feb 1, 2006 (20.559428701182 yrs)
Last Updated
Jan 5, 2009
Licenses
04-14230 (KS)
R6888 (MO)

Practice Information

Address
6429 HIGH DR
MISSION HILLS, KS, 662081935
Browse KS providers · Browse ZIP 66208
Phone
9137225825
Primary Specialty
Hematology
207RH0003X
Additional Specialty
Hematology
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.