Search › Ohio › 101YP2500X
Kim Peterson, M.S., LPCC
NPI 1881748796 · on the registry since 2007 · sole proprietor
Practice
- Address
- 55 North Main Street
Suite B
Centerville, OH 45459 - Phone
- (937) 434-4333
- Fax
- (937) 435-1718
- Organisation at this address
- German Burke Orthodontics, Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
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 Ohio