Individual
KAYLA MAE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
82 PATTON AVE STE 510, ASHEVILLE, NC 28801-3343
(828) 398-5244
Mailing address
548 W 2ND AVE, COLUMBUS, OH 43201-3361
(740) 418-7507
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
3275
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/09/2014
Last updated
08/08/2018
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