Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVIN E. PETERSEN, D.C.
ActiveDR. KEVIN E. PETERSEN, D.C. is a Nutrition (Chiropractor) healthcare provider located in BIG LAKE, Minnesota. NPI 1851414346 is currently active in the NPPES registry. Verify at CMS.
Nutrition (Chiropractor) · BIG LAKE, MN
Registration Details
- NPI Number
- 1851414346
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 9, 2007 (19.368144294597 yrs)
- Last Updated
- Dec 29, 2010
- License
-
4263 (MN)
Practice Information
- Address
-
29 LAKE ST SBIG LAKE, MN, 553094588Browse MN providers · Browse ZIP 55309
- Phone
- 7632633470
- Fax
- 7632635900
- Primary Specialty
-
Nutrition (Chiropractor)
111NN1001X
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.