Kim Peterson in Oklahoma City - Addiction (substance Use Disorder)
Kim Peterson - NPI 1902015696
Kim Peterson is a Addiction (substance Use Disorder) in Oklahoma City, Oklahoma. Kim Peterson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kim Peterson is 1902015696. The last update date is 2007-07-08.
Kim Peterson's current location address is 1140 N Hudson Ave, Oklahoma City, Oklahoma. You can contact this provider via phone number 4052720660. The mailing address for Kim Peterson is 1140 N Hudson Ave, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim Peterson |
|---|---|
| Address | 1140 N Hudson Ave, Oklahoma City, Oklahoma |
| Phone Number | 4052720660 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LADC |
NPI Number Detail
| NPI Number | 1902015696 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1140 N Hudson Ave |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731033918 |
| Phone Number | 4052720660 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 117 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the Kim Peterson's 1902015696?
The Kim Peterson's NPI (National Provider Identifier) Number is 1902015696. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kim Peterson's facilities are geographically located?
The facilities of Kim Peterson are physically situated at the following location: 1140 N Hudson Ave, Oklahoma City, OK, 731033918.
What is Kim Peterson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kim Peterson's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
On what date did the Kim Peterson receive the assignment of its 1902015696 from the Centers for Medicare & Medicaid Services?
The Kim Peterson was issued its 1902015696 by the Centers for Medicare & Medicaid Services on 2007-05-21.
When was the information regarding Kim Peterson most recently updated?
The details pertaining to the Kim Peterson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.