Individual
KENNETH REED PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9888102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-4081
(402) 559-7372
Mailing address
9888102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-4081
(402) 559-7372
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
13130
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47078557501
—
NE
Enumeration date
05/12/2006
Last updated
06/27/2011
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