Dr. Kelly A Peterson, DC
Chiropractor, Neurology in Clearwater, FL. Individual provider (NPI-1).
NPI number1982302006
StatusActive
Last updated in NPPESFeb 17, 2023
Details
- NPI
- 1982302006
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kelly A Peterson
- Credential
- DC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 17, 2023
- Certification date
- Feb 17, 2023
- Last updated
- Feb 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NN0400X | Chiropractor, Neurology | CH14382 | FL | Yes |
Practice location
635 Court StClearwater, FL 33756-5512
Phone 727-223-9970
Mailing address
635 Court StClearwater, FL 33756-5512
Phone 727-223-9970
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