Peterson, Kylan D

Peterson, Kylan D is an sole proprietor health care provider with primary practice located at 730 N College Rd Suite B, Twin Falls ID 83301-3382. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as his primary health care specialty. Peterson, Kylan D can be contacted via phone (208) 814-7350.

Contact Information

Primary practice address
730 N College Rd Suite B Twin Falls ID 83301-3382
Phone: (208) 814-7350
Fax: (208) 732-8508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X O0713 Idaho

Profile Details

NPI number 1750542452
LBN Legal business name Peterson, Kylan D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2008
Last updated Jan 2nd, 2015 - about 10 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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