Individual
KELSEY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 W NORFOLK AVE, NORFOLK, NE 68701-5006
(402) 371-8000
Mailing address
PO BOX 386, PLAINVIEW, NE 68769-0386
(402) 841-4729
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2269
NE
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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