Kent John Peterson, MD
Colon & Rectal Surgery in Fargo, ND. Individual provider (NPI-1).
NPI number1669979514
StatusActive
Last updated in NPPESJan 28, 2026
Details
- NPI
- 1669979514
- Entity type
- Individual (NPI-1)
- Name
- Kent John Peterson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 8, 2018
- Certification date
- Jan 28, 2026
- Last updated
- Jan 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208C00000X | Colon & Rectal Surgery | 22778 | ND | Yes |
Practice location
801 Broadway NFargo, ND 58102-3641
Phone 801-234-2000
Mailing address
Po Box 5074Sioux Falls, SD 57117-5074
Phone 701-234-2000
Other practice locations
5225 23rd Ave S
Fargo, ND 58104-7927
Fargo, ND 58104-7927
Phone 701-417-2000
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