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

Dr. Kirk C Peterson, MD

Individual provider Anatomic Pathology Physician · NPI 1982650131

Dr. Kirk C Peterson, MD is a Pathology in Twin Falls, Idaho. Graduated from Medical College of Georgia School of Medicine in 1995, 31 years ago. Practices with Valley Pathology Associates PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
31
Trained at
Medical College of Georgia School of Medicine
Licensed in
ID
In the registry since
2006
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

801 Pole Line Rd W Dept OF Pathology
Twin Falls, ID 83301-5810
Phone: (208) 814-0363
Fax: (208) 814-0911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology Physician (primary) Taxonomy 207ZP0101X · Licence M-7970 (ID)

Record details

NPI number1982650131
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 26, 2006
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Valley Pathology Associates Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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