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

Kent Lee Peterson, DPM

Individual provider Podiatrist · NPI 1316162647

Kent Lee Peterson, DPM is a Podiatrist in Prescott, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

919 12th Pl Ste 10
Prescott, AZ 86305-1433
Phone: (928) 776-0770
Fax: (928) 776-8991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 0261 (AZ)

Record details

NPI number1316162647
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedApril 13, 2007
Last updated in NPPESApril 7, 2017

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