Individual
DR. RAND A PETERSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3812 4TH AVE, KEARNEY, NE 68845-2832
(308) 237-7700
(308) 236-7605
Mailing address
3812 4TH AVE, KEARNEY, NE 68845-2832
(308) 237-7700
(308) 236-7605
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
897
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09504
BCBS OF NE
NE
01
—
22396
MIDLAND'S CHOICE NETWORK
NE
05
—
47070724500
—
NE
Enumeration date
06/13/2006
Last updated
07/08/2007
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