Individual
KALYN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
293 BENT TREE LN, HASLET, TX 76052-3876
(817) 825-8781
(817) 439-1835
Mailing address
293 BENT TREE LN, HASLET, TX 76052-3876
(817) 825-8781
(817) 439-1835
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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