Individual provider · Type 1 NPI

Kylan D. Peterson, DO

Otolaryngology/Facial Plastic Surgery Physician · Twin Falls, ID

NPI number 1750542452 Active

Practice location

730 N College Rd, Suite B
Twin Falls, ID 83301-3382

Fax (208) 732-8508

Mailing address

PO Box 587
Twin Falls, ID 83303-0587

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology/Facial Plastic Surgery Physician Primary 207YX0905XO0713 (ID)

Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

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About NPI 1750542452

Kylan D. Peterson, DO's National Provider Identifier is 1750542452, issued on Jun 24, 2008. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Twin Falls, ID. The record was last updated on Jan 2, 2015.