Peterson, Kelvin Lee

Peterson, Kelvin Lee is an individual health care provider with primary practice located at 417 Starlite Dr , Pueblo CO 81005-2685. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Peterson, Kelvin Lee can be contacted via phone (719) 564-6010.

Contact Information

Primary practice address
417 Starlite Dr Pueblo CO 81005-2685
Phone: (719) 564-6010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 10568 Colorado

Profile Details

NPI number 1366744112
LBN Legal business name Peterson, Kelvin Lee
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2010
Last updated Nov 30th, 2010 - about 14 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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