Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kristopher Wyllis Peterson, DC

Individual provider Chiropractor · NPI 1003862871

Dr. Kristopher Wyllis Peterson, DC is a Chiropractic in Kenosha, Wisconsin. Graduated from Palmer College Chiropractic - Davenport in 2000, 26 years ago. Practices with LP Chiropractic LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
26
Trained at
Palmer College Chiropractic - Davenport
Licensed in
WI
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

5703 75th St
Kenosha, WI 53142-3603
Phone: (262) 697-1363
Fax: (262) 697-1388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 3762012 (WI)

Record details

NPI number1003862871
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedMay 25, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolPALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduated 2000 (26 years in practice)
Group practice Lp Chiropractic Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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