Petersen, Kristen K
Petersen, Kristen K is an individual health care provider with primary practice located at 5219 88Th Ave , Kenosha WI 53144-7468. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Petersen, Kristen K can be contacted via phone (262) 653-0850.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2668-154 | Wisconsin |
Profile Details
| NPI number | 1316095649 |
|---|---|
| LBN Legal business name | Petersen, Kristen K |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316095649 | NPPES |
| Wisconsin | MEDICAID | 42568600 |
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