KENNETH PETERSEN, M.D.

Obstetrics & Gynecology

Active Individual
NPI: 1922092733

Practice Address

1111 LIGHTHOUSE LANE
Goshen, IN 46526

Phone: (574) 533-0348

Specialties

Specialty Code Primary License
Obstetrics & Gynecology 207V00000X Yes 01028273 (IN)

Frequently Asked Questions

NPI 1922092733 is the National Provider Identifier for KENNETH PETERSEN, M.D., a Obstetrics & Gynecology provider located in Goshen, IN. This NPI was enumerated on September 7, 2005.
KENNETH PETERSEN, M.D. practices at 1111 LIGHTHOUSE LANE, Goshen, IN 46526.

Quick Facts

NPI
1922092733
Type
Individual
Enumerated
Sep 7, 2005
Last Updated
Feb 4, 2008

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