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

MRS. KELLY SUZANNE PETERSON, ND

Active Sole Proprietor

Naturopath · GRAND RAPIDS, MI

Registration Details

NPI Number
1235413758
Provider Type
Individual
Gender
Female
NPI Issued
Oct 3, 2011 (14.589117569634 yrs)
Last Updated
Jan 2, 2019
Licenses
11-1263 (AZ)
009.0134076 (VT)
Sole Proprietor
Yes

Practice Information

Address
638 FULTON ST W SUITE B
GRAND RAPIDS, MI, 49504
Browse MI providers · Browse ZIP 49504
Phone
6162646556
Fax
6164323564
Primary Specialty
Naturopath
175F00000X
Additional Specialty
Naturopath

Other Naturopath Providers in GRAND RAPIDS, MI

Name Credential NPI
MS. YOLANDA RITA CORDELE 1457660987
CHRISTINE SCHOENEK N.D. 1336698281
JENNIFER KURINSKY ND 1952852352
CARRIE TENELLE DENNIE ND 1699242750
DR. GAYNEL NAVE ND 1821653403
JENNIFER M BUCHNER ND 1154955821
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.