Individual
ALICIA KATHERINE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4000 CAMBRIDGE ST., DEPT. OF EMERGENCY MEDICINE, KANSAS CITY, KS 66160
(913) 588-6500
Mailing address
4000 CAMBRIDGE ST., DEPT. OF EMERGENCY MEDICINE, KANSAS CITY, KS 66160
(312) 926-2000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
04-37132
KS
207R00000X
Internal Medicine Physician
AN52403945953
IL
Other
Enumeration date
07/21/2008
Last updated
09/06/2022
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