Individual
KYLE R PETERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1021 NEBRASKA ST, SIOUX CITY, IA 51105-1436
(712) 252-2477
(712) 252-5516
Mailing address
1021 NEBRASKA ST, PO BOX 5410, SIOUX CITY, IA 51105-1436
(712) 252-2477
(712) 252-5516
Taxonomy
Speciality
Code
Description
License number
State
208U00000X
Clinical Pharmacology Physician
Primary
20044
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092080
—
IA
Enumeration date
11/08/2005
Last updated
07/08/2007
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