Individual provider · Type 1 NPI

R. Kelly Petersen, DDS

General Practice Dentistry · Parker, CO

NPI number 1285852426 Active

About NPI 1285852426

R. Kelly Petersen, DDS's National Provider Identifier is 1285852426, issued on Apr 23, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Parker, CO. The record was last updated on Jul 8, 2007.