Peterson, Kari Lee

Peterson, Kari Lee is an individual health care provider with primary practice located at 4140 Theilman Lane Suite 208, St Cloud MN 56301. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Peterson, Kari Lee can be contacted via phone (320) 252-4126.

Contact Information

Primary practice address
4140 Theilman Lane Suite 208 St Cloud MN 56301
Phone: (320) 252-4126
Fax: (320) 202-6507
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D12255 Minnesota

Profile Details

NPI number 1205995594
LBN Legal business name Peterson, Kari Lee
Credentials DENTIST DDS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 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 1205995594 NPPES
Minnesota Other 8397078 STATE ID

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