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Dr. Kelsey Carl Peterson JR., MD
Specialist in Huntington Beach, California
NPI 1033281019

Kelsey Carl Peterson JR. is a Specialist based in Huntington Beach, CA. Kelsey Carl Peterson JR. practices in Huntington Beach, CA and has the professional credentials of MD. The NPI Number for Kelsey Carl Peterson JR. is 1033281019 and holds a License No. G17592 (California).

The current practice location address for Kelsey Carl Peterson JR. is 17742 Beach Blvd, Huntington Beach, CA and can be reached out via phone at 714-329-0179 and via fax at 714-965-0311. You can also correspond with Kelsey Carl Peterson JR. through the mailing address at 20462 KENWORTH CIR, HUNTINGTON BEACH, CA - 92646-5446 (mailing address contact number: 714-329-0179).

Location: 17742 Beach Blvd, Huntington Beach, CA, 92646-5446
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033281019
Provider Name
Kelsey Carl Peterson JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
17742 Beach Blvd, Huntington Beach, CA, 92646-5446
Phone Number
714-329-0179
Fax Number
714-965-0311
Provider Enumeration Date
11/14/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
17742 Beach Blvd
City
Huntington Beach
State
California
Zip
92647-6818
Phone Number
714-329-0179
Fax Number
714-965-0311
person
Provider Business Mailing Address Details
Address
17742 Beach Blvd
City
Huntington Beach
State
California
Zip
92647-6818
Phone Number
714-329-0179
Fax Number
714-965-0311
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G17592 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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