Kylee Petersen, HUMAN SERVICES

NPI 1376033340 · on the registry since 2018 · sole proprietor

Practice

Address: 148 Clara Ave
Ukiah, CA 95482
Phone: (707) 462-1932
Fax: (707) 489-6943
Organisation at this address: Mendocino County Aids Volunteer Network
Mendocino County Aids/Viral Hepatitis Network
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 171M00000X
171M00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2018-06-16

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 California