Kent Petersen, RN

NPI #1053559401 in Normal, Illinois

Provider Information

NPI Number
1053559401
Entity Type
Individual
Name
Kent Petersen, RN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse
Credential
RN
Enumeration Date
Jan 22, 2009
Last Updated
Jan 22, 2009

Practice Location

Address
1604 VISA DR STE 1
City
Normal
ZIP Code
61761-2195
Phone
(309) 846-4716

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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