person
Dr. Kristopher Wyllis Peterson, DC
Chiropractor in Kenosha, Wisconsin
NPI 1003862871

Kristopher Wyllis Peterson is a Chiropractor based in Kenosha, WI. Kristopher Wyllis Peterson practices in Kenosha, WI and has the professional credentials of DC. The NPI Number for Kristopher Wyllis Peterson is 1003862871 and holds a License No. 3762012 (Wisconsin).

The current practice location address for Kristopher Wyllis Peterson is 5703 75Th St, Kenosha, WI and can be reached out via phone at 262-697-1363 and via fax at 262-697-1388.

Location: 5703 75Th St, Kenosha, WI, 53142-3603
person
Provider Profile Details
NPI Number
1003862871
Provider Name
Kristopher Wyllis Peterson
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
5703 75Th St, Kenosha, WI, 53142-3603
Phone Number
262-697-1363
Fax Number
262-697-1388
Provider Enumeration Date
05/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5703 75Th St
City
State
Zip
53142-3603
Phone Number
262-697-1363
Fax Number
262-697-1388
person
Provider Business Mailing Address Details
Address
5703 75Th St
City
State
Zip
53142-3603
Phone Number
262-697-1363
Fax Number
262-697-1388
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
3762012 (Wisconsin)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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