Individual provider · Type 1 NPI
Kyle Peterson
Student in an Organized Health Care Education/Training Program · Burlington, IA
NPI number
1952709404
Active
Practice location
1741 Dehn St
Burlington, IA 52601-2115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
About NPI 1952709404
Kyle Peterson's National Provider Identifier is 1952709404, issued on Dec 16, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Burlington, IA. The record was last updated on Dec 16, 2014.