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

Kristen Marie Peterson

Individual provider Personal Care Attendant · NPI 1104353556

Kristen Marie Peterson is a Personal Care Attendant in Tipp City, Ohio. Licensed in Ohio. Registered with an NPI since 2017.

Licensed in
OH
In the registry since
2017

Practice location Address checks out

564 Burnside Dr
Tipp City, OH 45371-3711
Phone: (937) 838-5492
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X · Licence 400705210108 (OH)

Record details

NPI number1104353556
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 16, 2017
Last updated in NPPESMay 16, 2017

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