Katie Peterson, D.D.S

NPI 1033471263 · on the registry since 2012 · sole proprietor

Practice

Address: 920 N Main St
Mountain Grove, MO 65711
Phone: (417) 926-4910
Fax: (417) 926-4399
Organisation at this address: Shannon Chiropractic Llc
Katie D. Peterson, Dds, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-06-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri