NPI

Peter Kaga Omot

NPI 1316705320

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Individual
Enumeration date
2024-03-13
Last updated
2024-03-13

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Specialties

Licenses

License MN
k811182269510

Location

Practice location
22 Wilson Ave NE Ste 15
City
Saint Cloud MN
Postal code
56304-0403
Phone
(320) 443-4418

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

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