Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH PETER JUSTESEN, D.O.
ActiveDR. KENNETH PETER JUSTESEN, D.O. is a Anesthesiology healthcare provider located in ROCKFORD, Illinois. NPI 1174607121 is currently active in the NPPES registry. Verify at CMS.
Anesthesiology · ROCKFORD, IL
Registration Details
- NPI Number
- 1174607121
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 25, 2006 (19.796798341628 yrs)
- Last Updated
- Nov 14, 2023
- License
-
036088819 (IL)
Practice Information
- Address
-
5875 E RIVERSIDE BLVDROCKFORD, IL, 611144937Browse IL providers · Browse ZIP 61114
- Phone
- 8153989491
- Fax
- 8153817498
- Primary Specialty
-
Anesthesiology
207L00000X
Other Anesthesiology Providers in ROCKFORD, IL
| Name | Credential | NPI |
|---|---|---|
| YOUNAN H HAMWI | MD | 1659373637 |
| DR. RONALD PETER OBERFOELL | D.O. | 1760472898 |
| GARETH A EBERLE | MD | 1982664462 |
| EDWARD D FAUSEL | MD | 1790745289 |
| ROGER A BOHN | MD | 1225098791 |
| PATRICIA J HARLEY | MD | 1386604809 |
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.