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

Mrs. Kelly Suzanne Peterson, ND

Individual provider Naturopath · NPI 1235413758

Mrs. Kelly Suzanne Peterson, ND is a Naturopath in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Arizona and Vermont.

Licensed in
AZ, VT
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

638 Fulton St W Ste B
Grand Rapids, MI 49504
Phone: (616) 264-6556
Fax: (616) 432-3564
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Naturopath (primary) Taxonomy 175F00000X · Licence 009.0134076 (VT)
Naturopath Taxonomy 175F00000X · Licence 11-1263 (AZ)

Record details

NPI number1235413758
Entity typeIndividual (Type 1)
GenderFemale
Credentials ND
Sole proprietorYes
NPI enumeratedOctober 3, 2011
Last updated in NPPESJanuary 2, 2019

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