Most Relevant Information
Provider Data
| NPI Number: | 1003393604 |
| Provider Name: | KELSEY PETERSON FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 112618 |
Most Important Dates
| Enumeration Date: | 07/26/2018 |
| Last Updated: | 07/02/2019 |
Provider Practice Location
816 22ND AVE STE 100
KEARNEY
NE
688452226
Practice Location Phone/Fax
| Phone: | 3084558287 |
| Fax: |
Provider Mailing Location
816 22ND AVE STE 100
KEARNEY
NE
688452226
Provider Mailing Phone/Fax
| Phone: | 3084558287 |
| Fax: |