Search › Idaho › 207YX0905X
Kylan Peterson, D.O
NPI 1750542452 · on the registry since 2008 · sole proprietor
Practice
- Address
- 730 N College Rd
Suite B
Twin Falls, ID 83301 - Phone
- (208) 814-7350
- Fax
- (208) 732-8508
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 207YX0905X
207YX0905X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-01-02
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 Idaho