KEVIN W PETERSON

MERCY CLINICS INC

Dr KEVIN W PETERSON is a male medical professional, specializing in Pediatric Medicine. He graduated in 2008 from Chicago College Of Osteopathic Medicine.

Contact

MERCY CLINICS INC

319 E MAIN ST
MERCYONE PANORA FAMILY MEDICINE CLINIC
PANORA
IA
502161064

Tel: 6417552121

KEVIN W PETERSON Information

Npi 1669633343
Pac Id 7719155795
Professional Enrollment Id I20110718000544
Last Name PETERSON
First Name KEVIN
Middle Name W
Suffix
Gender M
Credential
Medical School Name CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 2008
Primary Specialty PEDIATRIC MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MERCY CLINICS INC
Group Practice Pac Id 7911810882
Number Of Group Practice Members 442
Line 1 Street Address 319 E MAIN ST
Line 2 Street Address MERCYONE PANORA FAMILY MEDICINE CLINIC
Marker Of Address Line 2 Suppression
City PANORA
State IA
Zip Code 502161064
Phone Number 6417552121
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
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Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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