Individual
DR. KURT PETTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
533 BROOKDALE DR, STATESVILLE, NC 28677-4107
(704) 872-2028
(704) 872-3390
Mailing address
533 BROOKDALE DR, STATESVILLE, NC 28677-4107
(704) 872-2028
(704) 872-3390
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
134
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8908136
—
NC
Enumeration date
07/13/2005
Last updated
12/10/2012
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