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

Individual provider Surgical Physician Assistant · NPI 1265890057

Kendall Peterson, PA-C is a Surgical Physician Assistant in Dallas, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

7777 Forest Ln Ste B107
Dallas, TX 75230-6888
Phone: (972) 566-7300
Fax: (972) 566-7313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X (TX)

Record details

NPI number1265890057
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 8, 2016
Last updated in NPPESFebruary 8, 2016

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