NPI 1669979514

Kent John Peterson, MD

Practitioner Colon & Rectal Surgery Physician Fargo, ND

Practice location

Address: 801 Broadway N, Fargo, ND 58102-3641
Phone: (801) 234-2000
Mailing address: PO Box 5074, Sioux Falls, SD 57117-5074

Registered specialties

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 22778 (ND)

Other Colon & Rectal Surgery providers in North Dakota →

Registry record

NPI: 1669979514
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Apr 2018
Record last updated: 28 Jan 2026

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.