SearchIdaho363A00000X

Kevin Peters, PA-C

NPI 1326525304 · on the registry since 2018

Practice

Address
2003 Kootenai Health Way Ste 300
Coeur D Alene, ID 83814
Phone
(208) 625-5081
Organisation at this address
Kootenai Health, Inc.
Kootenai Health, Inc.
Kootenai Health, Inc.
Kootenai Health, Inc.
Kootenai Health, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
235

Additional practice sites

  • 4309 W Medical Center Dr Ste A200, Mchenry, IL

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363AS0400X
Licence states on file
ID, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-07-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho