Kelly Peterson
Dental Hygienist in Rochester, MN. Individual provider (NPI-1).
NPI number1669922266
StatusActive
Last updated in NPPESOct 6, 2016
Details
- NPI
- 1669922266
- Entity type
- Individual (NPI-1)
- Name
- Kelly Peterson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2016
- Last updated
- Oct 6, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | H8191 | MN | Yes |
Practice location
903 W Center StUnited Way Building Suite 130
Rochester, MN 55902-6278
Phone 507-529-0436 · Fax 507-529-0435
Mailing address
903 W Center StUnited Way Building Suite 130
Rochester, MN 55902-6278
Phone 507-529-0436 · Fax 507-529-0435
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 32 Dental Hygienist providers in Rochester · All 13,674 providers in Rochester
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