Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENT PETERSEN, RN
ActiveKENT PETERSEN, RN is a Registered Nurse healthcare provider located in NORMAL, Illinois. NPI 1053559401 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · NORMAL, IL
Registration Details
- NPI Number
- 1053559401
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 22, 2009 (17.5364062631 yrs)
- Last Updated
- Jan 22, 2009
- License
-
041300994 (IL)
Practice Information
- Address
-
1604 VISA DR STE 1NORMAL, IL, 617612195Browse IL providers · Browse ZIP 61761
- Phone
- 3098464716
- Fax
- 4094541107
- Primary Specialty
-
Registered Nurse
163W00000X
Other Registered Nurse Providers in NORMAL, IL
| Name | Credential | NPI |
|---|---|---|
| SHIRLEY KROLL | RN | 1639316110 |
| CAROL WILLIAMS | RN | 1821235300 |
| TAMMY GORDON | RN | 1770721102 |
| LAURA DAVIS | RN | 1487892832 |
| KATHLEEN A PFLEGER | RN | 1942448394 |
| SHERRY HOERR-BRADLEY | R.N. | 1629219787 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.