Individual
MR. BRENT ALLEN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S., B.C.-H.I.S.
Contact information
Practice address
153 W 151ST ST, 140, OLATHE, KS 66061-5348
(913) 764-5355
Mailing address
6 VICTORY DR, LIBERTY, MO 64068-3807
(816) 313-2800
(816) 792-9819
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1275
KS
Other
Enumeration date
02/15/2007
Last updated
07/12/2011
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