Individual
KAITLYN ANN PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA10298
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
355091501
—
TX
Enumeration date
12/16/2015
Last updated
05/07/2025
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