Organization
KGP LLC
Active
Other names
Kerry Peterson FNP
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY PETERSON FNP (OWNER)
(360) 249-1980
Entity
Organization
Contact information
Practice address
319 E PIONEER AVE, MONTESANO, WA 98563-4601
(360) 249-1980
Mailing address
PO BOX 1898, ABERDEEN, WA 98520-0315
(360) 637-9263
(360) 637-8732
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60443753
WA
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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