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KIMBERLEY MICHELLE PETERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
634 EDDY AVE, MISSOULA, MT 59812-6601
(406) 243-2122
Mailing address
2070 COOPER ST APT 111, MISSOULA, MT 59808-2036
(406) 396-1019

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
100360
MT

Other

Enumeration date
04/29/2009
Last updated
07/21/2022
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