Kris Allen Peterson in Lakewood - Psychiatry
Kris Allen Peterson - NPI 1932284460
Kris Allen Peterson is a Psychiatry in Lakewood, Washington. Kris Allen Peterson practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Kris Allen Peterson is 1932284460. The last update date is 2022-10-04.
Kris Allen Peterson's current location address is 9115 Bridgeport Way Sw Ste 2, Lakewood, Washington. You can contact this provider via phone number 2533939099 and fax number 2533939098. The mailing address for Kris Allen Peterson is 9115 Bridgeport Way Sw Ste 2, Lakewood, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kris Allen Peterson |
|---|---|
| Address | 9115 Bridgeport Way Sw Ste 2, Lakewood, Washington |
| Phone Number | 2533939099 |
| Fax Number | 2533939098 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1932284460 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2022-10-04 |
Provider Mailing Address Detail
| Address | 9115 Bridgeport Way Sw Ste 2 |
|---|---|
| City | Lakewood |
| State | Washington (WA) |
| Post Code | 984992449 |
| Phone Number | 2533939099 |
| Fax Number | 2533939098 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | MD00031307 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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What is the unique 10-digit identifier code assigned to Kris Allen Peterson by the Centers for Medicare & Medicaid Services?
The Kris Allen Peterson has been issued the NPI (National Provider Identifier) 1932284460 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kris Allen Peterson?
The Kris Allen Peterson is physically situated at 9115 Bridgeport Way Sw Ste 2, in the city of Lakewood, state of WA, with the postal code 984992449.
What is Kris Allen Peterson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kris Allen Peterson is Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1932284460 to Kris Allen Peterson?
The Centers for Medicare & Medicaid Services originally issued the 1932284460 to Kris Allen Peterson on 2006-10-25.
When was the information related to Kris Allen Peterson most recently updated or refreshed?
The details pertaining to the Kris Allen Peterson, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-10-04.