Individual provider · Type 1 NPI

Kent John Peterson, MD

Colon & Rectal Surgery Physician · Fargo, ND

NPI number 1669979514 Active

Practice location

801 Broadway N
Fargo, ND 58102-3641

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice locations

  • 5225 23rd Ave S, Fargo, ND 58104-7927 · (701) 417-2000

Specialties and licenses

TaxonomyCodeLicense
Colon & Rectal Surgery Physician Primary 208C00000X22778 (ND)

Colon & Rectal Surgery Physician: A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

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About NPI 1669979514

Kent John Peterson, MD's National Provider Identifier is 1669979514, issued on Apr 8, 2018. The primary taxonomy on file is Colon & Rectal Surgery Physician (208C00000X), and the practice location is in Fargo, ND. The record was last updated on Jan 28, 2026.