Kylan D Peterson in Twin Falls - Otolaryngology/facial Plastic Surgery
Kylan D Peterson - NPI 1750542452
Kylan D Peterson is a Otolaryngology/facial Plastic Surgery in Twin Falls, Idaho. Kylan D Peterson practices all healthcare services and medical treatments related to Otolaryngology/facial Plastic Surgery. The NPI Number for Kylan D Peterson is 1750542452. The last update date is 2015-01-02.
Kylan D Peterson's current location address is Po Box 587, Twin Falls, Idaho. You can contact this provider via phone number 2088147400 and fax number 2088147491. The mailing address for Kylan D Peterson is Po Box 587, Twin Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kylan D Peterson |
|---|---|
| Address | Po Box 587, Twin Falls, Idaho |
| Phone Number | 2088147400 |
| Fax Number | 2088147491 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1750542452 |
|---|---|
| Provider Enumeration Date | 2008-06-24 |
| Last Updated Date | 2015-01-02 |
Provider Mailing Address Detail
| Address | Po Box 587 |
|---|---|
| City | Twin Falls |
| State | Idaho (ID) |
| Post Code | 833030587 |
| Phone Number | 2088147400 |
| Fax Number | 2088147491 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology/facial Plastic Surgery |
|---|---|
| Taxonomy | 207Yx0905X |
| Licence No | O0713 |
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Definition: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
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What is the unique identification code assigned to Kylan D Peterson by the Centers for Medicare & Medicaid Services?
The Kylan D Peterson has been issued the NPI (National Provider Identifier) 1750542452. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kylan D Peterson located?
The Kylan D Peterson is located at Po Box 587, Twin Falls, ID 833030587.
What is the area of specialization for Kylan D Peterson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kylan D Peterson is Otolaryngology/facial Plastic Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 207Yx0905X.
When was the Kylan D Peterson's 1750542452 issued?
The Kylan D Peterson's 1750542452 was issued on 2008-06-24.
As of what date were the Kylan D Peterson's details last updated?
The information pertaining to the Kylan D Peterson, including its address, specialty, and other details, was most recently updated on 2015-01-02.
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