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NPI Code Detail

MEDICARE: MRS. KARNA S. PETERSON

MEDICARE: MRS. KARNA S. PETERSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian316KS

General Provider Information

NPI Number : 1679576649
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KARNA S. PETERSON
Provider Business Mailing Address
First Line : 605 W LINCOLN ST
Second Line :
City : LINDSBORG
State : KS
Zip : 67456-2328
Country : US
Telephone Number : 785-227-3308
Fax Number : 785-227-4130
Provider Business Practice Location Address
First Line : 605 W LINCOLN ST
Second Line :
City : LINDSBORG
State : KS
Zip : 67456-2328
Country : US
Telephone Number : 785-227-3308
Fax Number : 785-227-4130
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 07/09/2007

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Directions to “ MRS. KARNA S. PETERSON ” Practice Location

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