Individual provider · Type 1 NPI

Kerry Elizabeth Petersen

Physician Assistant · Baltimore, MD

NPI number 1457950446 Active

Practice location

4940 Eastern Avenue
Baltimore, MD 21264-1508

Call (410) 550-0100 Map

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004

Other practice locations

  • 620 W Lexington St Ste 5110, Baltimore, MD 21201-1508 · (410) 777-1881

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XC08311 (MD)

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 1457950446

Kerry Elizabeth Petersen's National Provider Identifier is 1457950446, issued on Oct 20, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Baltimore, MD. The record was last updated on Nov 17, 2023.