Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNY J PETERSON, M.D.
ActiveKENNY J PETERSON, M.D. is a Obstetrics & Gynecology healthcare provider located in MISAWA AB, APO/FPO Pacific. NPI 1104815315 is currently active in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology · MISAWA AB, AP
Registration Details
- NPI Number
- 1104815315
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 19, 2005 (20.792680627218 yrs)
- Last Updated
- Jul 21, 2022
- License
-
35-07-3341-P (OH)
Practice Information
- Address
-
35 MDOS/SGOPOMISAWA AB, AP, 96319Browse AP providers · Browse ZIP 96319
- Phone
- 3152266150
- Fax
- 3152266271
- Primary Specialty
-
Obstetrics & Gynecology
207V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.