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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENNETH D PETERSEN, M.D.

Active

KENNETH D PETERSEN, M.D. is a Obstetrics & Gynecology healthcare provider located in GOSHEN, Indiana. NPI 1922092733 is currently active in the NPPES registry. Verify at CMS.

Obstetrics & Gynecology · GOSHEN, IN

Registration Details

NPI Number
1922092733
Provider Type
Individual
Gender
Male
NPI Issued
Sep 7, 2005 (20.981913335024 yrs)
Last Updated
Feb 4, 2008
License
01028273 (IN)

Practice Information

Address
1111 LIGHTHOUSE LANE
GOSHEN, IN, 465263824
Browse IN providers · Browse ZIP 46526
Phone
5745330348
Fax
5745330277
Primary Specialty
Obstetrics & Gynecology
207V00000X

Other Obstetrics & Gynecology Providers in GOSHEN, IN

Name Credential NPI
JAMES R VANCUREN M.D. 1851385660
VERNON MAES D.O. 1366436172
FRED A SIMON JR. M.D. 1407840952
PETER M DELNEKY MD 1821041278
DR. LORRAINE E WEAVER M.D. 1164466520
DR. JAMES LINDEMULDER DO 1902833114
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.