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1356778419
KEVIN THOMAS PETERSEN
LAS VEGAS, NV
NPI
1356778419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: NV DO3578)
Additional Taxonomies
208600000X Surgery
(Licence: NY 294233)
Enumeration Date
2013-10-03
Last Update Date
2024-05-23
Business Address
Dr. KEVIN THOMAS PETERSEN D.O.
1707 W CHARLESTON BLVD STE 160
LAS VEGAS, NV 89102-2354
Phone number: 702-671-5150
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Mailing Address
Dr. KEVIN THOMAS PETERSEN D.O.
3016 W CHARLESTON BLVD STE 100
LAS VEGAS, NV 89102-1973
Phone number: 702-780-7118
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