Petersen, Kyle

Petersen, Kyle is an sole proprietor health care provider with primary practice located at 4215 Burns Rd Ste 100 , Palm Beach Gardens FL 33410-4627. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Petersen, Kyle can be contacted via phone (561) 694-7776.

Contact Information

Primary practice address
4215 Burns Rd Ste 100 Palm Beach Gardens FL 33410-4627
Phone: (561) 694-7776
Fax: (561) 694-3099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X ME155351 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1104280700
LBN Legal business name Petersen, Kyle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2016
Last updated May 8th, 2023 - about 3 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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