Kgp LLC
NPI #1073939427 in Montesano, Washington
Provider Information
- NPI Number
- 1073939427
- Entity Type
- Organization
- Organization Name
- Kgp LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Mar 10, 2014
- Last Updated
- Mar 10, 2014
Practice Location
- Address
- 319 E PIONEER AVE
- City
- Montesano
- State
- Washington
- ZIP Code
- 98563-4601
- Phone
- (360) 249-1980
Authorized Official
- Name
- KERRY PETERSON, FNP
- Title
- OWNER
- Phone
- (360) 249-1980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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