Peacock, Kurt Michael

Peacock, Kurt Michael is an individual health care provider with primary practice located at 1015 S Broadway Ste 18 , Minot ND 58701-4667. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Peacock, Kurt Michael can be contacted via phone (701) 857-8500.

Contact Information

Primary practice address
1015 S Broadway Ste 18 Minot ND 58701-4667
Phone: (701) 857-8500
Fax: (701) 857-8555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R30073 North Dakota

Profile Details

NPI number 1699862375
LBN Legal business name Peacock, Kurt Michael
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699862375 NPPES
North Dakota MEDICAID 54517

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