Individual
KEVIN NICHOLAS PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
980 ROOSEVELT STE 100, IRVINE, CA 92620-3670
(949) 333-6400
Mailing address
2412 E ATHENS AVE, ORANGE, CA 92867-4408
(661) 713-4584
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
297167
CA
Other
Enumeration date
08/14/2019
Last updated
11/27/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us