Individual
DR. KEVIN LOUIS PETERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4700 W 95TH ST STE 303, OAK LAWN, IL 60453-2572
(800) 991-6117
(888) 812-8191
Mailing address
3820 NORTHDALE BLVD STE 201, TAMPA, FL 33624-1893
(813) 961-1331
(888) 850-8316
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
036141794
IL
207R00000X
Internal Medicine Physician
Primary
036141794
IL
207R00000X
Internal Medicine Physician
232845
NY
207R00000X
Internal Medicine Physician
ME118086
FL
Other
Enumeration date
10/16/2006
Last updated
02/15/2025
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