MR. Kent Jon Peters, PHYSICIAN ASSISTANT

NPI #1033270905 in Omaha, Nebraska

Provider Information

NPI Number: 1033270905
Entity Type: Individual
Name: MR. Kent Jon Peters, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Dec 13, 2006
Last Updated: Dec 4, 2013

Practice Location

Address: 4101 WOOLWORTH AVE
Address 2: VA OMAHA HOSPITAL
City: Omaha
State: Nebraska
ZIP Code: 68105
Phone: (402) 995-4463

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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