Petersen, Kevin
Petersen, Kevin is an sole proprietor health care provider with primary practice located at 653 N Town Center Dr , Las Vegas NV 89144-0514. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Petersen, Kevin can be contacted via phone (702) 256-7616.Contact Information
Primary practice address
653 N Town Center Dr
Las Vegas NV 89144-0514
Phone: (702) 256-7616
Fax: (702) 256-1481
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 9665 | Nevada |
Profile Details
| NPI number | 1205971066 |
|---|---|
| LBN Legal business name | Petersen, Kevin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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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