Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. John Kevin Paulsen, MD

Individual provider Surgery Physician · NPI 1174552681

Dr. John Kevin Paulsen, MD is a Surgery Physician in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

7303 N Knoxville Ave
Peoria, IL 61614-2017
Phone: (309) 691-4005
Fax: (309) 691-6144
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036050399 (IL)

Record details

NPI number1174552681
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2006
Last updated in NPPESFebruary 29, 2016

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