KERRY PETERSON FNP
NPI 1073939427
Nurse Practitioner - Family in Montesano, WA

Active since March 10, 2014
319 E PIONEER AVE, MONTESANO, WA 98563(360) 249-1980 Get Directions Write a Review

NPPES record last updated: March 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kerry Peterson Fnp NPPES

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

KERRY PETERSON FNP (NPI 1073939427) is a healthcare organization registered as a family in Montesano, Washington and active in the NPI registry since March 2014. The organization lists Kerry Peterson, Owner, as its authorized official.

NPPES Registry Identity

NPI1073939427
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameKGP LLC
Location Address319 E PIONEER AVEMontesano, WA 98563-4601
Mailing AddressPo Box 1898Aberdeen, WA 98520-0315 · (360) 637-9263 · Fax (360) 637-8732
Organization SubpartNo
Authorized OfficialKerry PetersonOwner · (360) 249-1980
Enumeration DateMarch 10, 2014
NPI 1073939427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WA · AP60443753
319 E PIONEER AVE, Montesano, WA 98563

Other Names 1

Doing Business AsKerry Peterson Fnp

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
319 E PIONEER AVE
MONTESANO, WA 98563
Clinic/Center (Rural Health)
319 E PIONEER AVE
MONTESANO, WA 98563
Family Medicine
319 E PIONEER AVE
MONTESANO, WA 98563
Family Medicine
319 E PIONEER AVE, GRANT W JACKSON MD PS
MONTESANO, WA 98563
Family Medicine
319 E PIONEER AVE
MONTESANO, WA 98563
Pediatrics
319 E PIONEER AVE
MONTESANO, WA 98563
Nurse Practitioner (Family)
319 E PIONEER AVE
MONTESANO, WA 98563

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kgp LLC's NPI number?

The NPI number for Kgp LLC is 1073939427. It was assigned to this organization in the NPPES registry on March 10, 2014. The provider is doing business as Kerry Peterson Fnp.

Where is Kgp LLC located?

Kgp LLC is located at 319 E Pioneer Ave, Montesano, WA 98563. The listed phone number is (360) 249-1980.

What is Kgp LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Kgp LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Kgp LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kgp LLC was last updated on March 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.