Whalio Doctors

NPI 1285969667

Thuy Le Petersen, PAC

Practitioner Internal Medicine Physician Leavenworth, KS

Practice location

Address
1300 Metropolitan Ave, Leavenworth, KS 66048
Phone
(913) 682-8700
Mailing address
5715 N Hull CT, Kansas City, MO 64151-2602

Registered specialties (2)

Internal Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 1089316 (MO)
Surgical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 1089316 (MO)

Registry record

NPI
1285969667
Entity type
Individual
Sex (as registered)
Female
NPI issued
2 Oct 2009
Record last updated
11 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.