Petersen, Michelle Lynn

Petersen, Michelle Lynn is an individual health care provider with primary practice located at 8010 State Line Rd Suite 210, Prairie Village KS 66208-3710. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Petersen, Michelle Lynn can be contacted via phone (913) 341-2200.

Contact Information

Primary practice address
8010 State Line Rd Suite 210 Prairie Village KS 66208-3710
Phone: (913) 341-2200
Fax: (913) 648-7605
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5735 Kansas

Profile Details

NPI number 1063488047
LBN Legal business name Petersen, Michelle Lynn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jul 8th, 2007 - about 19 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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