Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KYLAN D PETERSON, D.O.
Active Sole ProprietorDR. KYLAN D PETERSON, D.O. is a Facial Plastic Surgery healthcare provider located in TWIN FALLS, Idaho. NPI 1750542452 is currently active in the NPPES registry. Verify at CMS.
Facial Plastic Surgery · TWIN FALLS, ID
Registration Details
- NPI Number
- 1750542452
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 24, 2008 (18.128815683533 yrs)
- Last Updated
- Jan 2, 2015
- License
-
O0713 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
730 N COLLEGE RDSUITE BTWIN FALLS, ID, 833013382Browse ID providers · Browse ZIP 83301
- Phone
- 2088147350
- Fax
- 2087328508
- Primary Specialty
-
Facial Plastic Surgery
207YX0905X
Other Facial Plastic Surgery Providers in TWIN FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| DR. RUSSELL WELDON MAYES | D.O. | 1316162704 |
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.