Individual
KURT MICHAEL PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1015 S BROADWAY STE 18, MINOT, ND 58701-4667
(701) 857-8500
(701) 857-8555
Mailing address
1015 S BROADWAY STE 18, MINOT, ND 58701-4667
(701) 857-8500
(701) 857-8555
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R30073
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54517
—
ND
Enumeration date
10/06/2006
Last updated
07/08/2007
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