Individual
DR. KEVIN EDWARD PELTIER I
Active
Individual
DR. KEVIN EDWARD PELTIER I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
0101239534
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006401201
—
VA
01
—
176914
ANTHEM
—
01
—
2357733
AETNA HMO
—
01
—
7957069
AETNA
—
Enumeration date
03/05/2006
Last updated
02/24/2023
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