Kyle Peterson, CRNA

NPI 1689610818 · on the registry since 2006

Practice

Address: 8990 Springbrook Dr Nw
Coon Rapids, MN 55433
Phone: (763) 398-0099
Fax: (763) 398-0124
Organisation at this address: Alternative Counseling Clinic
Behavioral Therapy Center, Inc.
Minneapolis Senior Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 89

Registry record

Primary taxonomy: 367500000X
367500000X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-03-30

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 Minnesota