Individual
MRS. KELLY SUZANNE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
638 FULTON ST W SUITE B, GRAND RAPIDS, MI 49504
(616) 264-6556
(616) 432-3564
Mailing address
638 FULTON ST W SUITE B, GRAND RAPIDS, MI 49504
(616) 264-6556
(616) 432-3564
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
009.0134076
VT
175F00000X
Naturopath
11-1263
AZ
Other
Enumeration date
10/03/2011
Last updated
01/02/2019
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