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

Dr. Kevin Thomas Petersen, DO

Individual provider Surgery Physician · NPI 1356778419

Dr. Kevin Thomas Petersen, DO is a General Surgery in Pensacola, Florida. Graduated from University of New England, College of Osteo Medicine in 2013, 13 years ago. Practices with Unlv Medicine, a 180-clinician group and accepts Medicare assignment. Licensed in Nevada and New York.

Years since qualifying
13
Trained at
University of New England, College of Osteo Medicine
Licensed in
NV, NY
In the registry since
2013
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

220 Hovey Rd Fl 32508
Pensacola, FL 32508-1044
Phone: (850) 452-9484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence DO3578 (NV)
Surgery Physician Taxonomy 208600000X · Licence 294233 (NY)

Record details

NPI number1356778419
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 3, 2013
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025
Mailing address220 Hovey Rd Fl 32508, Pensacola, FL 32508-1044

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduated 2013 (13 years in practice)
Group practice Unlv Medicine — 180 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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