Petersen, Kimberley Michelle

Petersen, Kimberley Michelle is an individual health care provider with primary practice located at 634 Eddy Ave , Missoula MT 59812-6601. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Petersen, Kimberley Michelle can be contacted via phone (406) 243-2122.

Contact Information

Primary practice address
634 Eddy Ave Missoula MT 59812-6601
Phone: (406) 243-2122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 100360 Montana

Profile Details

NPI number 1508000878
LBN Legal business name Petersen, Kimberley Michelle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2009
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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