Individual provider · Type 1 NPI

Kevin Petersen, MD

Specialist · Las Vegas, NV

NPI number 1205971066 Active

Practice location

653 N Town Center Dr
Las Vegas, NV 89144-0514

Call (702) 256-7616 Map

Fax (702) 256-1481

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X9665 (NV)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1205971066

Kevin Petersen, MD's National Provider Identifier is 1205971066, issued on Feb 20, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Las Vegas, NV. The record was last updated on Jul 9, 2007.