Petersen, Kevin Thomas
Petersen, Kevin Thomas is an individual health care provider with primary practice located at 1707 W Charleston Blvd Ste 160 , Las Vegas NV 89102-2354. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Petersen, Kevin Thomas can be contacted via phone (702) 671-5150.Contact Information
Primary practice address
1707 W Charleston Blvd Ste 160
Las Vegas NV 89102-2354
Phone: (702) 671-5150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 294233 | New York |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | DO3578 | Nevada |
Profile Details
| NPI number | 1356778419 |
|---|---|
| LBN Legal business name | Petersen, Kevin Thomas |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2013 |
| Last updated | May 23rd, 2024 - about last year |
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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