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

Kimberly Petersen

Individual provider Family Medicine Physician · NPI 1043247877

Kimberly Petersen is a Family Practice in Perham, Minnesota. Graduated from University of Wisconsin School of Medicine in 1991, 35 years ago. Practices with Perham Hospital District, a 39-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
35
Trained at
University of Wisconsin School of Medicine
Licensed in
MN
In the registry since
2006
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Practice location Address checks out

1000 Coney St W
Perham, MN 56573-2102
Phone: (218) 347-1200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35969 (MN)

Record details

NPI number1043247877
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024
Mailing addressPo Box 5074, Sioux Falls, SD 57117-5074

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Perham Hospital District — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Perham