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
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 - FamilyFamily

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