Kelly Malia Peterson, PA-C

NPI #1003217860 in Muskegon, Michigan

Provider Information

NPI Number: 1003217860
Entity Type: Individual
Name: Kelly Malia Peterson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 11, 2014
Last Updated: Aug 5, 2019

Practice Location

Address: 1301 MERCY DRIVE
City: Muskegon
State: Michigan
ZIP Code: 49444
Phone: (231) 739-9492

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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