KRISTEN PETERSON APRN - NPI 1831675651 - Nurse Practitioner in Lebanon, KY

Q: What is Kristen Peterson's NPI number?

The NPI number for Kristen Peterson is 1831675651. It was assigned to this individual provider in the NPPES registry on July 15, 2018. The provider is also known as Kristen Bradshaw.

Q: What is Kristen Peterson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kristen Peterson was last updated on July 15, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kristen Peterson Aprn NPPES

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

KRISTEN PETERSON APRN (NPI 1831675651) is an individual family provider in Lebanon, Kentucky, licensed in Kentucky (3012478) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1831675651

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKRISTEN PETERSONCredential: APRN

Location Address325 W WALNUT ST STE 600Lebanon, KY 40033-1378

Mailing Address325 W Walnut St Ste 600Lebanon, KY 40033-1378 · (270) 699-9500

Phone(270) 699-9500

Sole ProprietorYes

Enumeration DateJuly 15, 2018

✔ NPI 1831675651 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 KY · 3012478

325 W WALNUT ST STE 600, Lebanon, KY 40033

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Other Names 1

Former Name (1)Kristen Bradshaw

Other Providers at the Same Location NPPES 6

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

VMD PRIMARY PROVIDERS CENTRAL KENTUCKY

Clinic/Center (Rural Health)