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Katherine V Peterson, RD

Dietitian, Registered in Waukesha, WI. Individual provider (NPI-1).

NPI number1164076345
StatusActive
Last updated in NPPESJul 26, 2019

Details

NPI
1164076345
Entity type
Individual (NPI-1)
Name
Katherine V Peterson
Credential
RD
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 26, 2019
Last updated
Jul 26, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered3414-29WIYes

Practice location

302 W North St Apt 26
Waukesha, WI 53188-5142

Phone 630-605-6265

Mailing address

302 W North St Apt 26
Waukesha, WI 53188-5142

Phone 630-605-6265

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