Dr. Kylan D Peterson
Otolaryngology/Facial Plastic Surgery
730 N College Rd Suite B
Twin Falls
, Idaho 83301-3382
Dr. Kylan D Peterson
Otolaryngology/Facial Plastic Surgery
730 N College Rd Suite B
Twin Falls
, Idaho 83301-3382
(208) 814-7491
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Dr. Kylan D Peterson
- Po Box 587
- Twin Falls, ID
- Zip : 83303-0587
- Fax : (208) 814-7491
- Phone : (208) 814-7400
Second Address
- Dr. Kylan D Peterson
- 730 N College Rd Suite B
- Twin Falls, ID
- Zip : 83301-3382
- Fax : (208) 732-8508
- Phone : (208) 814-7350
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | O0713 | ID |
National Provider Identifier
| NPI | 1750542452 |
|---|---|
| Provider Name | Dr. Kylan D Peterson |
| First Address | Twin Falls, ID 83303-0587 |
| Second Address | Twin Falls, ID 83301-3382 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/06/2008 |
| Last Update Date | 02/01/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.