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

Individual provider Specialist · NPI 1205971066

Dr. Kevin Petersen, MD is a Specialist in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

653 N Town Center Dr
Las Vegas, NV 89144-0514
Phone: (702) 256-7616
Fax: (702) 256-1481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 9665 (NV)

Record details

NPI number1205971066
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 20, 2007
Last updated in NPPESJuly 9, 2007

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