Individual
KEITH A PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1205 HAUCK DR, ROLLA, MO 65401-4900
(573) 426-2225
(573) 426-2290
Mailing address
12661 COUNTY ROAD 5050, ROLLA, MO 65401-8053
(573) 578-6416
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2003008892
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
176200
BLUE CROSS BLUE SHIELD
MO
01
—
694831
HEALTHLINK
MO
Enumeration date
11/28/2006
Last updated
12/02/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us