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Kevin Peterson, CRNA

NPI 1912971581 · on the registry since 2006 · sole proprietor

Practice

Address
300 S Bruce St
Marshall, MN 56258
Phone
(507) 532-9661
Organisation at this address
Avera Marshall
Avera Marshall
Avera Marshall
Avera Marshall
Avera Marshall
Inferred from a shared address, not stated in the registry.
Clinicians at this address
98

Additional practice sites

  • 3267 230th Ave, Ghent, MN
  • 10 4th Ave Se, Glenwood, MN

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
2019-09-10

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