Petersen, Thuy Le

Petersen, Thuy Le is an individual health care provider with primary practice located at 1300 Metropolitan Ave , Leavenworth KS 66048. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Petersen, Thuy Le can be contacted via phone (913) 682-8700.

Contact Information

Primary practice address
1300 Metropolitan Ave Leavenworth KS 66048
Phone: (913) 682-8700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1089316 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 1089316 Missouri

Profile Details

NPI number 1285969667
LBN Legal business name Petersen, Thuy Le
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2009
Last updated Jul 11th, 2019 - about 5 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 1285969667 NPPES
Missouri Other 1089316 MISSOURI LICENSE NUMBER

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