Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN W. PETERSON, D.O.
ActivePediatrics · INDIANOLA, IA
Registration Details
- NPI Number
- 1669633343
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 24, 2008 (17.88712536363 yrs)
- Last Updated
- Oct 29, 2019
- Licenses
-
DO-04172 (IA)4172 (IA)
Practice Information
- Address
-
307 E SCENIC VALLEY AVEINDIANOLA, IA, 501254865Browse IA providers · Browse ZIP 50125
- Phone
- 5159618448
- Fax
- 5156439100
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in INDIANOLA, IA
| Name | Credential | NPI |
|---|---|---|
| DR. SUSAN COMER | MD | 1639690852 |
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.