Kelly Peterson, RD | |
325 9th Ave, Box 359790, Seattle, WA 98104-2420 | |
(206) 744-5004 | |
Not Available |
Full Name | Kelly Peterson |
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Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 11 Years |
Location | 325 9th Ave, Seattle, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871916296 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 1105841 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Peacehealth | 8527016039 | 171 |
Provider Name | Peacehealth |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1740223874 PECOS PAC ID: 8527016039 Enrollment ID: O20050111000353 |
Mailing Address | Practice Location Address |
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Kelly Peterson, RD 325 9th Ave, Box 359790, Seattle, WA 98104-2420 Ph: () - | Kelly Peterson, RD 325 9th Ave, Box 359790, Seattle, WA 98104-2420 Ph: (206) 744-5004 |
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