Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVIN WILLIAM PETERSON, M.D.
ActiveDR. KEVIN WILLIAM PETERSON, M.D. is a Family Medicine healthcare provider located in JACKSONVILLE, Florida. NPI 1790754877 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1790754877
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 14, 2006 (20.415397212976 yrs)
- Last Updated
- Apr 22, 2009
- License
-
ME81505 (FL)
Practice Information
- Address
-
2377 DUNN AVEUFJP DUNN AVENUE FAMILY PRACTICE CENTERJACKSONVILLE, FL, 322186983Browse FL providers · Browse ZIP 32218
- Phone
- 9046330700
- Fax
- 9046330701
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| VICTORIA HOFF-JOINVILLE | D.O. | 1225030539 |
| DR. LOUIS JOHN LARMOYEUX JR. | DO | 1831193861 |
| DR. ELIZABETH FLETCHER TRAINER | MD | 1043214695 |
| DR. JOHN EZRA TRAINER III | M.D. | 1699770990 |
| HUI TANG | M.D. | 1649275488 |
| DR. HEBER J ROSA | M.D. | 1952306607 |
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.