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MRS. KELLY SUZANNE PETERSON ND NPI 1235413758


NPI Information

NPI: 1235413758
Provider Name: MRS. KELLY SUZANNE PETERSON, ND
Classification: Naturopath - 175F00000X
Entity Type: Individual
Address:
638 FULTON ST W SUITE B
GRAND RAPIDS, MI
ZIP 49504
Phone: (616) 264-6556
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MRS. Kelly Suzanne Peterson, ND is a naturopath in Grand Rapids, MI. The provider is diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. MRS. Kelly Suzanne Peterson, ND NPI is 1235413758. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

638 FULTON ST W SUITE B
GRAND RAPIDS, MI
ZIP 49504
Phone: (616) 264-6556
Fax: (616) 432-3564

The enumeration date for this NPI number is 10/3/2011 and was last updated on 1/2/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1175F00000XNaturopath11-1263ARIZONANo
2175F00000XNaturopath009.0134076VERMONTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.