| Doctor Name: | MS. KIM M PETERS |
| NPI Number: | 1063786424 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | 2012008395 |
| Business Practice Address: | 6500 Hospital Dr Hannibal, MO - 634016890 |
| Business Phone Number: | 5736293400 |
| Business Fax Number: | 5736293414 |
| Mailing Address: | Po Box 1239, 6500 Hospital Drive HANNIBAL |
| State: | MO |
| Postal Code: | 634011239 |
| Phone Number: | 5736293400 |
| Fax Number: | 5736293414 |
| NPI Enumeration Date: | 03/02/2012 |
| NPI Last Update Date: | 06/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 2012008395 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |