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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KELLY ANDREW PETERSON

Active

MR. KELLY ANDREW PETERSON is a Adult Companion healthcare provider located in GRAND ISLAND, Nebraska. NPI 1093523144 is currently active in the NPPES registry. Verify at CMS.

Adult Companion · GRAND ISLAND, NE

Registration Details

NPI Number
1093523144
Provider Type
Individual
Gender
Male
NPI Issued
Dec 20, 2024 (1.63449653624 yrs)
Last Updated
Dec 26, 2024

Practice Information

Address
709 E 11TH ST
GRAND ISLAND, NE, 688012603
Browse NE providers · Browse ZIP 68801
Phone
3083855775
Primary Specialty
Adult Companion
372600000X

Other Adult Companion Providers in GRAND ISLAND, NE

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.