KIMBERLY LAUREN PETERSON BS
NPI 1013425602
Student in an Organized Health Care Education/Training Program in Danville, IL

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since January 17, 2018

210 AVENUE C, DANVILLE, IL 61832(217) 442-3200(217) 442-7460 Get Directions Write a Review

NPPES record last updated: January 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kimberly Lauren Peterson Bs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY LAUREN PETERSON BS (NPI 1013425602) is an individual student in an organized health care education/training program in Danville, Illinois and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1013425602

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKIMBERLY LAUREN PETERSONCredential: BS

Location Address210 AVENUE CDanville, IL 61832-5410

Mailing Address210 Avenue CDanville, IL 61832-5410 · (217) 442-3200 · Fax (217) 442-7460

Phone(217) 442-3200

Fax(217) 442-7460

Sole ProprietorNo

Enumeration DateJanuary 17, 2018

✔ NPI 1013425602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

210 AVENUE C, Danville, IL 61832

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