Peterson, Kevin Warren

Peterson, Kevin Warren is an sole proprietor health care provider with primary practice located at 300 S Bruce St , Marshall MN 56258-1934. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Peterson, Kevin Warren can be contacted via phone (507) 532-9661.

Contact Information

Primary practice address
300 S Bruce St Marshall MN 56258-1934
Phone: (507) 532-9661
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R-16439-8 Minnesota

Profile Details

NPI number 1912971581
LBN Legal business name Peterson, Kevin Warren
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2006
Last updated Sep 10th, 2019 - about 6 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 1912971581 NPPES
Minnesota MEDICAID 026667100

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