Individual
KEVIN W. PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
307 E SCENIC VALLEY AVE, INDIANOLA, IA 50125-4865
(515) 961-8448
(515) 643-9100
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 961-8448
(515) 643-9100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4172
IA
208M00000X
Hospitalist Physician
DO-04172
IA
Other
Enumeration date
06/24/2008
Last updated
10/29/2019
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