Peterson, Kevin Nicholas

Peterson, Kevin Nicholas is an sole proprietor health care provider with primary practice located at 980 Roosevelt Ste 100 , Irvine CA 92620-3670. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as his primary health care specialty. Peterson, Kevin Nicholas can be contacted via phone (949) 333-6400.

Contact Information

Primary practice address
980 Roosevelt Ste 100 Irvine CA 92620-3670
Phone: (949) 333-6400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 297167 California

Profile Details

NPI number 1811543895
LBN Legal business name Peterson, Kevin Nicholas
Credentials PT, DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2019
Last updated Nov 27th, 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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