P Praxis·MD
● Active Type 1 · Individual

DR. Kylan D Peterson, D.O.

Otolaryngology·Twin Falls, ID· NPI 1750542452 · Enumerated 2008 · 17 years on NPI
Peterson is 1 of 2 otolaryngology providers in Twin Falls and 1 of 11 in Idaho.
NPI age
17 years
Enumerated 2008-06-24
Primary specialty
Otolaryngology
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-01-02
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 11 active otolaryngology providers in Idaho.

NPI age
17 years
↓ 2 yr below median (19 yr)
State licenses
1 state
27% of peers hold multiple states
Subspecialties
0
54% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-06Enumerated in NPPES
2008 2026

Where they practice

Practice location
730 N College Rd, Suite B
Twin Falls, ID 833013382
📞 2088147350fax 2087328508
Mailing address
Po Box 587
Twin Falls, ID 833030587
📞 2088147400fax 2088147491

Specialties

  • Otolaryngology Primary
    An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
    ID license #O0713 taxonomy 207YX0905X

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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