Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kgp LLC

Organization Family Nurse Practitioner · NPI 1073939427

Kgp LLC provides Family Nurse Practitioner services in Montesano, Washington. Licensed in Washington. Registered with an NPI since 2014.

Licensed in
WA
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

319 E Pioneer Ave
Montesano, WA 98563-4601 Not confirmed with CMS for 12 years — call before visiting
Phone: (360) 249-1980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP60443753 (WA)

Record details

NPI number1073939427
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kerry Peterson — Owner · (360) 249-1980
Other names Kerry Peterson Fnp
NPI enumeratedMarch 10, 2014
Last updated in NPPESMarch 10, 2014
Mailing addressPo Box 1898, Aberdeen, WA 98520-0315

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