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

DR. KIRK C PETERSON, MD

Active

DR. KIRK C PETERSON, MD is a Anatomic Pathology healthcare provider located in TWIN FALLS, Idaho. NPI 1982650131 is currently active in the NPPES registry. Verify at CMS.

Anatomic Pathology · TWIN FALLS, ID

Registration Details

NPI Number
1982650131
Provider Type
Individual
Gender
Male
NPI Issued
May 26, 2006 (20.074858854751 yrs)
Last Updated
Oct 27, 2020
License
M-7970 (ID)

Practice Information

Address
801 POLE LINE RD W
DEPARTMENT OF PATHOLOGY
TWIN FALLS, ID, 833015810
Browse ID providers · Browse ZIP 83301
Phone
2088140363
Fax
2088140911
Primary Specialty
Anatomic Pathology
207ZP0101X
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.