Individual provider · Type 1 NPI

Kelly Malia Peterson, PA-C

Physician Assistant · Muskegon, MI

NPI number 1003217860 Active

Practice location

1301 Mercy Drive
Muskegon, MI 49444

Call (231) 739-9492 Map

Mailing address

3621 S State St
Ann Arbor, MI 48108-1633

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601007197 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1003217860

Kelly Malia Peterson, PA-C's National Provider Identifier is 1003217860, issued on Sep 11, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Muskegon, MI. The record was last updated on Aug 5, 2019.