Kevin Lyman Peterson, PA-C

NPI #1689308744 in West Jordan, Utah

Provider Information

NPI Number: 1689308744
Entity Type: Individual
Name: Kevin Lyman Peterson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 14, 2022
Last Updated: Nov 26, 2024

Practice Location

Address: 3570 W 9000 S
City: West Jordan
State: Utah
ZIP Code: 84088-8869
Phone: (801) 903-5620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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