Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH WENDELL PETERSEN, D.O.
ActiveDR. KENNETH WENDELL PETERSEN, D.O. is a Orthopaedic Surgery healthcare provider located in HARRISONVILLE, Missouri. NPI 1568637395 is currently active in the NPPES registry. Verify at CMS.
Orthopaedic Surgery · HARRISONVILLE, MO
Registration Details
- NPI Number
- 1568637395
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 23, 2008 (18.341220598374 yrs)
- Last Updated
- Oct 8, 2014
- Licenses
-
05-33327 (KS)2013002819 (MO)
Practice Information
- Address
-
2820 E ROCK HAVEN RDSUITE # 120HARRISONVILLE, MO, 647014411Browse MO providers · Browse ZIP 64701
- Phone
- 8163807662
- Primary Specialty
-
Orthopaedic Surgery
207X00000X
- Additional Specialty
- Orthopaedic Surgery
Other Orthopaedic Surgery Providers in HARRISONVILLE, MO
| Name | Credential | NPI |
|---|---|---|
| DR. DANNY K CARROLL | M.D. | 1639172760 |
| TYSON KELLY TRAVIS | D.O. | 1447660451 |
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.