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Licensee Information

Kylie Nicole Peterson - PA-C
0010-16413
Active
No
03/20/2026
05/29/2027

Active Supervisor

NameTypeStatusApprovedInactive
Datta, Amit Kumar, MD MD Active 10/26/2026

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
None Reported

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 11/9/2026 3:14:05 AM
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