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

Mr. Kelly Andrew Peterson

Individual provider Adult Companion · NPI 1093523144

Mr. Kelly Andrew Peterson is an Adult Companion in Grand Island, Nebraska. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

709 E 11th St
Grand Island, NE 68801-2603
Phone: (308) 385-5775
Show map & directions

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

Additional practice locations (1)

  • 2536 Carleton Ave, Grand Island, NE 68803-1221 — (308) 385-5775

Specialties & licences

Adult Companion (primary) Taxonomy 372600000X

Record details

NPI number1093523144
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 20, 2024
Last updated in NPPESDecember 26, 2024
Certification dateDecember 26, 2024

Other providers in Grand Island