Individual
KARA LINDA PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6100 S LOUISE AVE STE 1130, SIOUX FALLS, SD 57108-6021
(605) 504-1600
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
5804
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5804
MEDICAL LICENSE
SD
05
—
6631292
—
SD
01
—
P00383160
RAILROAD MEDICARE
SD
Enumeration date
06/28/2006
Last updated
10/31/2019
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