Keith A. Peterson, DC

Chiropractor · Rolla, MO

Individual Active NPI

NPI number 1972679439

Practice location

1205 Hauck Dr
Rolla, MO 65401-4900
Phone
(573) 426-2225
Fax
(573) 426-2290

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NPI record

NPI
1972679439
Entity type
Individual (Type 1)
Enumeration date
November 28, 2006
Last updated
December 2, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 2003008892 MO

Mailing address

12661 County Road 5050
Rolla, MO 65401-8053
Phone
(573) 578-6416

About Dr. Peterson

Keith A. Peterson, DC is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 1205 Hauck Dr, Rolla, MO 65401-4900. The NPI number 1972679439 was assigned on November 28, 2006 and the record was last updated on December 2, 2016.

Dr. Peterson lists a license in the registry: #2003008892 (MO) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Keith A. Peterson, DC?

The NPI number is 1972679439.

What is the phone number of Dr. Peterson?

The phone number listed for the practice location is (573) 426-2225.

Where is Dr. Peterson located?

1205 Hauck Dr, Rolla, MO 65401-4900.

What is the taxonomy code for Dr. Peterson?

The primary taxonomy code is 111N00000X – Chiropractor.

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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