Dr. Kristopher Wyllis Peterson
Chiropractor
5703 75th St
Kenosha
, Wisconsin 53142-3603
Dr. Kristopher Wyllis Peterson
Chiropractor
5703 75th St
Kenosha
, Wisconsin 53142-3603
(262) 697-1388
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About
Features
Specialties
- Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Kristopher Wyllis Peterson
- 5703 75th St
- Kenosha, WI
- Zip : 53142-3603
- Fax : (262) 697-1388
- Phone : (262) 697-1363
Second Address
- Dr. Kristopher Wyllis Peterson
- 5703 75th St
- Kenosha, WI
- Zip : 53142-3603
- Fax : (262) 697-1388
- Phone : (262) 697-1363
Reviews
FAQs
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Is Dr. Kristopher Wyllis Peterson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3762012 | WI |
National Provider Identifier
| NPI | 1003862871 |
|---|---|
| Provider Name | Dr. Kristopher Wyllis Peterson |
| First Address | Kenosha, WI 53142-3603 |
| Second Address | Kenosha, WI 53142-3603 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/05/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U86425 | (02) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.