Individual provider · Type 1 NPI
Kimberly Lauren Peterson, BS
Student in an Organized Health Care Education/Training Program · Danville, IL
NPI number
1013425602
Active
Practice location
210 Avenue C
Danville, IL 61832-5410
Fax (217) 442-7460
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1013425602
Kimberly Lauren Peterson, BS's National Provider Identifier is 1013425602, issued on Jan 17, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Danville, IL. The record was last updated on Jan 17, 2018.