Individual
MS. KIM M PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
100 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 231-3116
(573) 231-3714
Mailing address
819 N 64TH ST, QUINCY, IL 62305-8370
(217) 257-9921
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2012008395
MO
Other
Enumeration date
03/02/2012
Last updated
07/19/2024
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