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General NPI Number Information
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NPI Number | 1679005722
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Entity Type | Individual
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Provider Name | PETER JAMES KILEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/29/2017
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 1321 COLBY AVE
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City | EVERETT
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State | WA
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Zip | 98201-1665
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Country | US
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Telephone | 425-404-8227
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 31001 - 4114
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City | PASADENA
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State | CA
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Zip | 91110-4114
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Country | US
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Telephone | 866-747-2455
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD-2023-0347
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | MD61545150
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License Number State | WA
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