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KEITH A PETERSON DC
NPI 1972679439
Chiropractor in Rolla, MO

Active since November 28, 2006
1205 HAUCK DR, ROLLA, MO 65401(573) 426-2225(573) 426-2290 Get Directions Write a Review

NPPES record last updated: December 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keith A Peterson Dc NPPES

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

KEITH A PETERSON DC (NPI 1972679439) is an individual chiropractor in Rolla, Missouri, licensed in Missouri (2003008892) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1972679439
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameKEITH A PETERSONCredential: DC
Location Address1205 HAUCK DRRolla, MO 65401-4900
Mailing Address12661 County Road 5050Rolla, MO 65401-8053 · (573) 578-6416
Phone(573) 426-2225
Fax(573) 426-2290
Sole ProprietorNo
Enumeration DateNovember 28, 2006
Last NPPES UpdateDecember 2, 2016
✔ NPI 1972679439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MO · 2003008892
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1205 HAUCK DR, Rolla, MO 65401
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Other Identifiers 4

Other694831MO · Healthlink
Medicare UPINU95162MO
Medicare ID-Type Unspecified002013901MO · Medicare
Other176200MO · Blue Cross Blue Shield

Other Providers at the Same Location NPPES 3

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

PETERSON FAMILY CHIROPRACTIC AND WELLNESS CENTER
Chiropractor
1205 HAUCK DR
ROLLA, MO 65401
Phelps County (573) 426-2225
DIANE M PETERSON DC
Chiropractor
1205 HAUCK DR
ROLLA, MO 65401
Phelps County (573) 426-2225
MRS. RUTH EVELYN RIDENHOUR L.P.C.-CCDP-D
Counselor (Professional)
1205 HAUCK DR
ROLLA, MO 65401
Phelps County (573) 578-6479

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 Keith Peterson's NPI number?

The NPI number for Keith Peterson is 1972679439. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Keith Peterson located?

Keith Peterson practices at 1205 Hauck Dr, Rolla, MO 65401. The listed phone number is (573) 426-2225.

What is Keith Peterson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Keith Peterson was last updated on December 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.