Peters, Kyle R

Peters, Kyle R is an individual health care provider with primary practice located at 1021 Nebraska St , Sioux City IA 51105-1436. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pharmacology, which is considered as his primary health care specialty. Peters, Kyle R can be contacted via phone (712) 252-2477.

Contact Information

Primary practice address
1021 Nebraska St Sioux City IA 51105-1436
Phone: (712) 252-2477
Fax: (712) 252-5516
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pharmacology 208U00000X 20044 Iowa

Profile Details

NPI number 1306827233
LBN Legal business name Peters, Kyle R
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306827233 NPPES
Iowa MEDICAID 0092080

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