Individual
DR. KRIS ALLEN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9115 BRIDGEPORT WAY SW STE 2, LAKEWOOD, WA 98499-2449
(253) 393-9099
(253) 393-9098
Mailing address
9115 BRIDGEPORT WAY SW STE 2, LAKEWOOD, WA 98499-2449
(253) 393-9099
(253) 393-9098
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD00031307
WA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD00031307
WA
Other
Enumeration date
10/25/2006
Last updated
10/04/2022
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