Individual
MR. KENT JON PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
4101 WOOLWORTH AVE, VA OMAHA HOSPITAL, OMAHA, NE 68105
(402) 995-4463
(402) 995-5163
Mailing address
4101 WOOLWORTH AVE, VA OMAHA HOSPITAL, OMAHA, NE 68105
(402) 995-4463
(402) 995-5163
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
703
NE
Other
Enumeration date
12/13/2006
Last updated
12/04/2013
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