Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KERRY ELIZABETH PETERSEN
ActiveKERRY ELIZABETH PETERSEN is a Physician Assistant healthcare provider located in BALTIMORE, Maryland. NPI 1457950446 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BALTIMORE, MD
Registration Details
- NPI Number
- 1457950446
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 20, 2020 (5.8080712691118 yrs)
- Last Updated
- Nov 17, 2023
- License
-
C08311 (MD)
Practice Information
- Address
-
4940 EASTERN AVENUEBALTIMORE, MD, 212641508Browse MD providers · Browse ZIP 21264
- Phone
- 4105500100
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in BALTIMORE, MD
| Name | Credential | NPI |
|---|---|---|
| MS. RONDA MICHELLE WALKER | PA-C | 1972509834 |
| MRS. GRETCHEN LEE SMITH | PA-C | 1619976149 |
| LORRIE BARBARA ZELESNICK | PA C | 1285634329 |
| DENOTTA SHAVONN TEAGLE | PA-C | 1902807100 |
| MR. CHRISTIAN THAI CAO | MPAS, PA-C | 1285620021 |
| MRS. JEAN ELIZABETH PREVAS | PA C | 1073594941 |
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.