Kent Petersen, RN
Registered Nurse · Normal, IL
Practice location
1604 Visa Dr Ste 1Normal, IL 61761-2195
- Phone
- (309) 846-4716
- Fax
- (409) 454-1107
NPI record
- NPI
- 1053559401
- Entity type
- Individual (Type 1)
- Enumeration date
- January 22, 2009
- Last updated
- January 22, 2009
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse Primary | 163W00000X |
041300994 | IL |
About Kent Petersen
Kent Petersen, RN is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Nurse (code 163W00000X). The practice location is 1604 Visa Dr Ste 1, Normal, IL 61761-2195. The NPI number 1053559401 was assigned on January 22, 2009 and the record was last updated on January 22, 2009.
Kent Petersen lists a license in the registry: #041300994 (IL) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kent Petersen, RN?
The NPI number is 1053559401.
What is the phone number of Kent Petersen?
The phone number listed for the practice location is (309) 846-4716.
Where is Kent Petersen located?
1604 Visa Dr Ste 1, Normal, IL 61761-2195.
What is the taxonomy code for Kent Petersen?
The primary taxonomy code is 163W00000X – Registered Nurse.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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