Individual
KRISTEN NOELE PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-7328
(270) 825-6666
Mailing address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-7328
(270) 825-6666
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3013211
KY
Other
Enumeration date
03/25/2019
Last updated
12/07/2020
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