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

Dr. Kylan D Peterson, DO

Individual provider Otolaryngology/Facial Plastic Surgery Physician · NPI 1750542452

Dr. Kylan D Peterson, DO is an Otolaryngology in Twin Falls, Idaho. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2008, 18 years ago. Practices with Gem State ENT PLLC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
18
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
ID
In the registry since
2008
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.

See every abbreviation used in this directory →

Practice location Address checks out

730 N College Rd Ste B
Twin Falls, ID 83301-3382
Phone: (208) 814-7350
Fax: (208) 732-8508
Show map & directions

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

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X · Licence O0713 (ID)

Record details

NPI number1750542452
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 24, 2008
Last updated in NPPESJanuary 2, 2015
Mailing addressPo Box 587, Twin Falls, ID 83303-0587

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2008 (18 years in practice)
Group practice Gem State Ent Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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