Individual
DR. JOHANNA SUZANNE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD. 6040 DELP, MS1020, DIVISION OF GENERAL AND GERIATRIC MEDICINE, UNIVERSITY, KANSAS CITY, KS 66160-0001
(913) 588-6005
(913) 588-3877
Mailing address
3901 RAINBOW BLVD. 4070 DELP, MS 4017, KANSSAS UNIVERSITY PHYSICIANS, INC., KANSAS CITY, KS 66160-0001
(913) 588-2501
(913) 588-0593
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9407884
KS
Other
Enumeration date
06/09/2012
Last updated
12/01/2025
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