KELLEY ANN PETERSON P.A.-C.
NPI 1477555886
Physician Assistant in West Des Moines, IA

Q: What is Kelley Peterson's NPI number?

The NPI number for Kelley Peterson is 1477555886. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Q: What is Kelley Peterson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelley Peterson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 15, 2005

6000 UNIVERSITY AVE, SUITE 310, WEST DES MOINES, IA 50266(515) 277-8900(515) 223-7361 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kelley Ann Peterson P.a.-c. NPPES

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

KELLEY ANN PETERSON P.A.-C. (NPI 1477555886) is an individual physician assistant in West Des Moines, Iowa, licensed in Iowa (01571) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1477555886

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKELLEY ANN PETERSONCredential: P.A.-C.

Location Address6000 UNIVERSITY AVE, SUITE 310West Des Moines, IA 50266-8203

Mailing Address13682 Lake Shore DrClive, IA 50325-8640 · (515) 277-8900 · Fax (515) 223-7361

Phone(515) 277-8900

Fax(515) 223-7361

Sole ProprietorNo

Enumeration DateAugust 15, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1477555886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IA · 01571

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

6000 UNIVERSITY AVE, West Des Moines, IA 50266

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