Thuy Le Petersen, PAC

NPI #1285969667 in Leavenworth, Kansas

Provider Information

NPI Number: 1285969667
Entity Type: Individual
Name: Thuy Le Petersen, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: PAC
Enumeration Date: Oct 2, 2009
Last Updated: Jul 11, 2019

Practice Location

Address: 1300 METROPOLITAN AVE
City: Leavenworth
State: Kansas
ZIP Code: 66048
Phone: (913) 682-8700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Surgical — Surgical	363AS0400X
Internal Medicine	207R00000X	Primary

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