Individual
KIRSTEN PECKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
4661 SHORELINE DR, SPRING PARK, MN 55384-9715
(307) 337-7321
Mailing address
9000 WARREN CT, VICTORIA, MN 55386-4578
(307) 337-7321
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1930
MN
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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