| Doctor Name: | MR. BRENT ALLEN PETERSON |
| NPI Number: | 1124161385 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | B.S., B.C.-H.I.S. |
| License Number: | 1275 |
| Business Practice Address: | 153 W 151st St 140 Olathe, KS - 660615348 |
| Business Phone Number: | 9137645355 |
| Business Fax Number: | |
| Mailing Address: | 6 Victory Dr, LIBERTY |
| State: | MO |
| Postal Code: | 640683807 |
| Phone Number: | 8163132800 |
| Fax Number: | 8167929819 |
| NPI Enumeration Date: | 02/15/2007 |
| NPI Last Update Date: | 07/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 237700000X |
| License Number: | 1275 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Hearing Instrument Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |