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KENT LEE PETERSON D.P.M.
NPI 1316162647
Podiatrist in Prescott, AZ

Active since April 13, 2007
919 12TH PL, SUITE 10, PRESCOTT, AZ 86305(928) 776-0770(928) 776-8991 Get Directions Write a Review

NPPES record last updated: April 7, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kent Lee Peterson D.p.m. NPPES

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

KENT LEE PETERSON D.P.M. (NPI 1316162647) is an individual podiatrist in Prescott, Arizona, licensed in Arizona (0261) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1316162647
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameKENT LEE PETERSONCredential: D.P.M.
Location Address919 12TH PL, SUITE 10Prescott, AZ 86305-1433
Mailing Address1206 Rolling Hills CirPrescott, AZ 86303-6485 · (928) 710-0770 · Fax (928) 445-3802
Phone(928) 776-0770
Fax(928) 776-8991
Sole ProprietorYes
Enumeration DateApril 13, 2007
Last NPPES UpdateApril 7, 2017
✔ NPI 1316162647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in AZ · 0261
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
919 12TH PL, Prescott, AZ 86305
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Other Identifiers 2

Medicare UPINT42032AZ
Medicare ID-Type Unspecified69928AZ

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELE R JONES R.N.F.A.
Obstetrics & Gynecology
919 12TH PL, SUITE 1
PRESCOTT, AZ 86305
Yavapai County (928) 778-4300
HORIZON DENTAL GROUP PRESCOTT, LLC
Dentist (General Practice)
919 12TH PL
PRESCOTT, AZ 86305
Yavapai County (928) 925-6522
MARCIA S MULCAHEY NP
Nurse Practitioner (Adult Health)
919 12TH PL
PRESCOTT, AZ 86305
Yavapai County (602) 851-3030
MS. ANNMARIE MASSIMO OGNP
Nurse Practitioner (Obstetrics & Gynecology)
919 12TH PL, #1
PRESCOTT, AZ 86305
Yavapai County (928) 778-4300
DEBRA ANN SNOW ANP
Nurse Practitioner (Adult Health)
919 12TH PL, SUITE 6
PRESCOTT, AZ 86305
Yavapai County (928) 445-4166
SCOTTSDALE HEART HEALTH & WELLNESS PLLC
Nuclear Medicine (Nuclear Imaging & Therapy)
919 12TH PL, 10
PRESCOTT, AZ 86305
Yavapai County (480) 765-2800
DRS SEIN AND OHN PC
Internal Medicine
919 12TH PL, #6
PRESCOTT, AZ 86305
Yavapai County (928) 445-4166
JUDY G BANDY FNP
Nurse Practitioner (Family)
919 12TH PL, SUITE 13
PRESCOTT, AZ 86305
Yavapai County (928) 445-4272

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 Kent Peterson's NPI number?

The NPI number for Kent Peterson is 1316162647. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Where is Kent Peterson located?

Kent Peterson practices at 919 12th Pl Suite 10, Prescott, AZ 86305. The listed phone number is (928) 776-0770.

What is Kent Peterson's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Kent Peterson was last updated on April 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.