NPI 1093302630

Kathryn Peterson, PAC

Practitioner Physician Assistant Vermillion, SD

Practice location

Address: 20 S Plum St, Vermillion, SD 57069-3346
Phone: (605) 677-3700
Mailing address: PO Box 5074, Sioux Falls, SD 57117-5074

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 13545 (MN)

Other Physician Assistant providers in South Dakota →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1652 (SD)

Registry record

NPI: 1093302630
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Dec 2020
Record last updated: 27 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.