Search › Indiana › 363L00000X
Kyrie Peterson
NPI 1336871318 · on the registry since 2022
Practice
- Address
- 5693 Ymca Park Dr W
Fort Wayne, IN 46835 - Phone
- (260) 469-6603
- Fax
- (260) 486-6123
- Clinicians at this address
- 17
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-17
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 Indiana