Doctor profile · Federal record
Dr. Kevin Petersen, MD
Specialist · Las Vegas, NV
- NPI 1205971066
- 19 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
653 N Town Center Dr
Las Vegas, NV 891440514
(702) 256-7616
fax (702) 256-1481
Credentials & registration
- NPI registered
- February 2007 — 19 yrs on file
- Profile last updated
- July 9, 2007
- Specialty taxonomy
- 174400000X — NUCC code
- State license (1)
- Nevada #9665
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1205971066. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$274
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Acera Surgical, INC. | 1 | $273.98 |
By nature of payment
Frequently asked questions
What is Dr. Kevin Petersen's medical specialty?
Dr. Kevin Petersen practices Specialist in Las Vegas, NV.
Where does Dr. Kevin Petersen practice?
Dr. Kevin Petersen practices at 653 N Town Center Dr, Las Vegas, NV 891440514. Office phone: 7022567616.
What is Dr. Kevin Petersen's NPI?
Dr. Kevin Petersen's National Provider Identifier (NPI) is 1205971066, issued by NPPES.