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Kevin Peterson, PA-C
NPI 1689308744 · on the registry since 2022
Practice
- Address
- 3570 W 9000 S
West Jordan, UT 84088 - Phone
- (801) 903-5620
- Fax
- (385) 351-6718
- Organisation at this address
- Family Plaza Pharmacy Inc
Family Plaza Pharmacy Inc
Ascend-Higher Therapy Llc
Jordan Valley Family Health
West Jordan Medical Center PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 24
Additional practice sites
- 5242 S College Dr Ste 200, Murray, UT
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah