Kaitlin M Peterson, M.D.
Radiology, Diagnostic Radiology in Albuquerque, NM. Individual provider (NPI-1).
NPI number1669903191
StatusActive
Last updated in NPPESApr 23, 2025
Details
- NPI
- 1669903191
- Entity type
- Individual (NPI-1)
- Name
- Kaitlin M Peterson
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2017
- Certification date
- Apr 23, 2025
- Last updated
- Apr 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | MD2022-0911 | NM | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | 72231 | WI |
Practice location
8020 Constitution Pl Ne Ste 202Albuquerque, NM 87110-7640
Phone 505-998-3096
Mailing address
8020 Constitution Pl Ne Ste 202Albuquerque, NM 87110-7640
Phone 505-998-3096 · Fax 505-998-3100
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