KELLEY ANN PETERSON

WEST DES MOINES, IA
NPI1477555886
Former NameKELLEY ANN FAUSHER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IA  01571)
Enumeration Date2005-08-15
Last Update Date2007-07-08
Business Address
KELLEY ANN PETERSON P.A.-C.
6000 UNIVERSITY AVE SUITE 310
WEST DES MOINES, IA 50266-8203
Phone number: 515-277-8900
Mailing Address
KELLEY ANN PETERSON P.A.-C.
13682 LAKE SHORE DR
CLIVE, IA 50325-8640
Phone number: 515-277-8900