Individual provider · Type 1 NPI

Kendall Leigh Peterson, CAA

Student in an Organized Health Care Education/Training Program · Houston, TX

NPI number 1265222970 Active

Practice location

6720 Bertner Ave
Houston, TX 77030-2604

Call (832) 355-2666 Map

Fax (713) 798-6374

Mailing address

6720 Bertner Ave Ste O-520
Houston, TX 77030-2604

Specialties and licenses

TaxonomyCodeLicense
Anesthesiologist Assistant 367H00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1265222970

Kendall Leigh Peterson, CAA's National Provider Identifier is 1265222970, issued on May 7, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Houston, TX. The record was last updated on May 7, 2025.