Kevin James Peterson

NPI #1346842325 in Kent, Ohio

Provider Information

NPI Number: 1346842325
Entity Type: Individual
Name: Kevin James Peterson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health Aide
Enumeration Date: Nov 13, 2020
Last Updated: Nov 13, 2020

Practice Location

Address: 345 S DEPEYSTER ST APT 201
City: Kent
State: Ohio
ZIP Code: 44240-3696
Phone: (330) 603-4954

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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