Search › Idaho › 1223G0001X
Kelsey Peterson, DMD
NPI 1396069712 · on the registry since 2010 · sole proprietor
Practice
- Address
- 1312 South Washington Street
Emmett, ID 83617 - Phone
- (208) 941-6640
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223X0400X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-13
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