Individual
MS. KATHLEEN ANN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
530 SOUTH 25TH ST, FORT DODGE, IA 50501
(515) 576-2235
(515) 576-6863
Mailing address
530 SOUTH 25TH ST, FORT DODGE, IA 50501
(515) 576-2235
(515) 576-6863
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P31740
IA
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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