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MRS. KELLY SUZANNE PETERSON ND
NPI 1235413758
Naturopath in Grand Rapids, MI

Active since October 03, 2011
638 FULTON ST W SUITE B, GRAND RAPIDS, MI 49504(616) 264-6556(616) 432-3564 Get Directions Write a Review

NPPES record last updated: January 2, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Kelly Suzanne Peterson Nd NPPES

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

MRS. KELLY SUZANNE PETERSON ND (NPI 1235413758) is an individual naturopath provider in Grand Rapids, Michigan, licensed in Vermont (009.0134076) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1235413758
Entity TypeIndividualFemale
Primary Taxonomy175F00000X
Provider Legal NameMRS. KELLY SUZANNE PETERSONCredential: ND
Location Address638 FULTON ST W SUITE BGrand Rapids, MI 49504
Mailing Address638 Fulton St W Suite BGrand Rapids, MI 49504 · (616) 264-6556 · Fax (616) 432-3564
Phone(616) 264-6556
Fax(616) 432-3564
Sole ProprietorYes
Enumeration DateOctober 3, 2011
Last NPPES UpdateJanuary 2, 2019
✔ NPI 1235413758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNaturopathOther Service Providers
Taxonomy Code175F00000X
Licenses✔ Licensed in VT · 009.0134076✔ Licensed in AZ · 11-1263
Definition
Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life.
638 FULTON ST W SUITE B, Grand Rapids, MI 49504
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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 Kelly Peterson's NPI number?

The NPI number for Kelly Peterson is 1235413758. It was assigned to this individual provider in the NPPES registry on October 3, 2011.

Where is Kelly Peterson located?

Kelly Peterson practices at 638 Fulton St W Suite B, Grand Rapids, MI 49504. The listed phone number is (616) 264-6556.

What is Kelly Peterson's specialty?

The primary specialty registered for this NPI is Naturopath with taxonomy code 175F00000X.

When was this NPI record last updated?

The NPPES record for Kelly Peterson was last updated on January 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.