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KENDALL PETERSON P.A.-C
NPI 1265890057
Physician Assistant - Surgical in Dallas, TX

Active since February 08, 2016
7777 FOREST LN STE B107, DALLAS, TX 75230(972) 566-7300(972) 566-7313 Get Directions Write a Review

NPPES record last updated: February 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kendall Peterson P.a.-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENDALL PETERSON P.A.-C (NPI 1265890057) is an individual surgical provider in Dallas, Texas and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1265890057
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKENDALL PETERSONCredential: P.A.-C
Location Address7777 FOREST LN STE B107Dallas, TX 75230-6888
Mailing Address7777 Forest Ln Ste B107Dallas, TX 75230-6888 · (972) 566-7300 · Fax (972) 566-7313
Phone(972) 566-7300
Fax(972) 566-7313
Sole ProprietorYes
Enumeration DateFebruary 8, 2016
✔ NPI 1265890057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
7777 FOREST LN STE B107, Dallas, TX 75230
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kendall Peterson's NPI number?

The NPI number for Kendall Peterson is 1265890057. It was assigned to this individual provider in the NPPES registry on February 8, 2016.

Where is Kendall Peterson located?

Kendall Peterson practices at 7777 Forest Ln Ste B107, Dallas, TX 75230. The listed phone number is (972) 566-7300.

What is Kendall Peterson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Kendall Peterson was last updated on February 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.