IndividualActive
Kylan Peterson, D.O.
NPI 1750542452 · Otolaryngology/Facial Plastic Surgery Physician · Twin Falls, ID
Provider details
- NPI number
- 1750542452
- Entity type
- Individual
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- O0713 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
730 N College Rd
Suite B
Twin Falls, ID 83301-3382
Phone: (208) 814-7350
Fax: (208) 732-8508
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 587
Twin Falls, ID 83303-0587
Registry dates
- Enumerated
- 2008-06-24
- Last updated
- 2015-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.