Individual
KENT WRIGHT PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 PRESTON AVENUE, SUITE 400, CHARLOTTESVILLE, VA 22903-4491
(434) 977-3784
(434) 977-8570
Mailing address
901 PRESTON AVENUE, SUITE 400, CHARLOTTESVILLE, VA 22903-4491
(434) 977-3784
(434) 977-8570
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
VA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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