Peltier, Kevin Edward

Peltier, Kevin Edward is an individual health care provider with primary practice located at 8644 Sudley Rd Suite 308, Manassas VA 20110-4400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Peltier, Kevin Edward can be contacted via phone (703) 369-9070.

Contact Information

Primary practice address
8644 Sudley Rd Suite 308 Manassas VA 20110-4400
Phone: (703) 369-9070
Fax: (703) 369-9240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 0101239534 Virginia

Profile Details

NPI number 1407823792
LBN Legal business name Peltier, Kevin Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2006
Last updated Feb 24th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407823792 NPPES
Virginia MEDICAID 006401201
Virginia Other 7957069
Virginia Other 2357733
Virginia Other 176914

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