Kevin E. Petersen is a Nutrition in Big Lake, Minnesota. Kevin E. Petersen practices all healthcare services and medical treatments related to Nutrition. The NPI Number for Kevin E. Petersen is 1851414346. The last update date is 2010-12-29.
Kevin E. Petersen's current location address is 29 Lake St S, Big Lake, Minnesota. You can contact this provider via phone number 7632633470 and fax number 7632635900. The mailing address for Kevin E. Petersen is 29 Lake St S, Big Lake, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin E. Petersen |
|---|---|
| Address | 29 Lake St S, Big Lake, Minnesota |
| Phone Number | 7632633470 |
| Fax Number | 7632635900 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1851414346 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2010-12-29 |
Provider Mailing Address Detail
| Address | 29 Lake St S |
|---|---|
| City | Big Lake |
| State | Minnesota (MN) |
| Post Code | 553094588 |
| Phone Number | 7632633470 |
| Fax Number | 7632635900 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition |
|---|---|
| Taxonomy | 111Nn1001X |
| Licence No | 4263 |
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Definition: Chiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to maintain the manipulative correction and thus sustain better neurological integrity. The Chiropractic |
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What is the unique identification code assigned to Kevin E. Petersen by the Centers for Medicare & Medicaid Services?
The Kevin E. Petersen has been issued the NPI (National Provider Identifier) 1851414346. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kevin E. Petersen's facilities are geographically located?
The facilities of Kevin E. Petersen are physically situated at the following location: 29 Lake St S, Big Lake, MN, 553094588.
What is the area of specialization for Kevin E. Petersen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kevin E. Petersen is Nutrition, and the corresponding taxonomy code that categorizes this area of expertise is 111Nn1001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1851414346 to Kevin E. Petersen?
The Kevin E. Petersen received its 1851414346 assignment from the Centers for Medicare & Medicaid Services on 2007-04-09.
As of what date were the Kevin E. Petersen's details last updated?
The information pertaining to the Kevin E. Petersen, including its address, specialty, and other details, was most recently updated on 2010-12-29.