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

Kevin A Peterson, MD

Individual provider Family Medicine Physician · NPI 1538243779

Kevin A Peterson, MD is a Family Medicine Physician in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
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

2001 Bloomington Ave
Minneapolis, MN 55404-3074
Phone: (612) 638-0700
Fax: (612) 627-4205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 31945 (MN)

Record details

NPI number1538243779
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 24, 2006
Last updated in NPPESJanuary 28, 2013

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