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Kyle Martin Peterson
Family Nurse Practitioner in Long Beach, California
NPI 1760169569

Kyle Martin Peterson is a Family Nurse Practitioner based in Long Beach, CA and is specialized in Family. Kyle Martin Peterson practices in Long Beach, CA. The NPI Number for Kyle Martin Peterson is 1760169569 and holds a License No. 95025769 (California).

The current practice location address for Kyle Martin Peterson is 1050 Linden Ave, Long Beach, CA and can be reached out via phone at 562-810-7447.

Location: 1050 Linden Ave, Long Beach, CA, 90813-3321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760169569
Provider Name
Kyle Martin Peterson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1050 Linden Ave, Long Beach, CA, 90813-3321
Phone Number
562-810-7447
Fax Number
Provider Enumeration Date
07/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1050 Linden Ave
City
Long Beach
State
California
Zip
90813-3321
Phone Number
562-810-7447
Fax Number
person
Provider Business Mailing Address Details
Address
1050 Linden Ave
City
Long Beach
State
California
Zip
90813-3321
Phone Number
562-810-7447
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95025769 (California)
Definition
Definition to come...
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