Individual provider · Type 1 NPI

Kevin Thomas Petersen, DO

Surgery Physician · Pensacola, FL

NPI number 1356778419 Active

Practice location

220 Hovey Rd Fl 32508
Pensacola, FL 32508-1044

Call (850) 452-9484 Map

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XDO3578 (NV)
Surgery Physician 208600000X294233 (NY)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1356778419

Kevin Thomas Petersen, DO's National Provider Identifier is 1356778419, issued on Oct 3, 2013. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Pensacola, FL. The record was last updated on Jul 30, 2025.