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

Katherine Rose Peterson, MD

Individual provider Pediatrics Physician · NPI 1871288217

Katherine Rose Peterson, MD is a Pediatrics Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2023.

Licensed in
MI
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 Michigan St NE
Grand Rapids, MI 49503-2560
Phone: (616) 267-0118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4301517126 (MI)
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X · Licence 4301517126 (MI)

Record details

NPI number1871288217
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2023
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026

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