IndividualActive
Kevin Petersen, D.C.
NPI 1851414346 · Nutrition Chiropractor · Big Lake, MN
Provider details
- NPI number
- 1851414346
- Entity type
- Individual
- Primary specialty
- Nutrition ChiropractorChiropractic Providers
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- License
- 4263 (MN)
Specialties & taxonomies
Chiropractic Providers
Practice location
29 Lake St S
Big Lake, MN 55309-4588
Phone: (763) 263-3470
Fax: (763) 263-5900
Approximate (ZIP-level) locationGet directions
Mailing address
29 Lake St S
Big Lake, MN 55309-4588
Registry dates
- Enumerated
- 2007-04-09
- Last updated
- 2010-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.