Peterson, Kyle David
Peterson, Kyle David is an individual health care provider with primary practice located at 3600 Gates Blvd , Port Arthur TX 77642-3858. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Peterson, Kyle David can be contacted via phone (800) 893-9698.Contact Information
Primary practice address
3600 Gates Blvd
Port Arthur TX 77642-3858
Phone: (800) 893-9698
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | N4663 | Texas |
Profile Details
| NPI number | 1922335199 |
|---|---|
| LBN Legal business name | Peterson, Kyle David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2009 |
| Last updated | Nov 10th, 2009 - about 15 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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