Kelly Peterson, APRN - Fort Sam Houston, TX

Kelly Peterson, APRN

Military Health Care Provider in Fort Sam Houston, Texas

NPI 1639787872

Kelly Peterson is a Military Health Care Provider based in Fort Sam Houston, TX. Kelly Peterson practices in Fort Sam Houston, TX and has the professional credentials of APRN. The NPI Number for Kelly Peterson is 1639787872 and holds a License No. (Texas).

The current practice location address for Kelly Peterson is 3551 Roger Brooke Dr, Fort Sam Houston, TX and can be reached out via phone at 210-916-4863.

Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX, 78234-4504

NPI Number

1639787872

Provider Name

Kelly Peterson

Credential

APRN

Provider Entity Type

Individual

Gender

Female

Address

3551 Roger Brooke Dr, Fort Sam Houston, TX, 78234-4504

Phone Number

210-916-4863

Fax Number

Provider Enumeration Date

07/14/2020

Last Update Date

03/10/2024

Identifier	Type	State	Issuer
1124390253	01		DOD ID

Address

3551 Roger Brooke Dr

City

Fort Sam Houston

State

Texas

Zip

78234-4504

Phone Number

210-916-4863

Fax Number

Address

3551 Roger Brooke Dr

City

Fort Sam Houston

State

Texas

Zip

78234-4504

Phone Number

210-916-4863

Fax Number

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Taxonomy

171000000X

License No.

()

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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