Individual
KALEIGH ANN PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 PECK SERVICE ROAD, EDWARDSVILLE, IL 62026-1506
(618) 650-5688
Mailing address
100 CEDAR ST, GREENFIELD, IL 62044-1506
(217) 883-7852
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2024019208
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/31/2023
Last updated
06/19/2024
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