Kenneth R Peterson in Groton - Chiropractor
Kenneth R Peterson - NPI 1164646741
Kenneth R Peterson is a Chiropractor in Groton, Connecticut. Kenneth R Peterson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Kenneth R Peterson is 1164646741. The last update date is 2021-06-24.
Kenneth R Peterson's current location address is 62 Fort Hill Rd, Groton, Connecticut. You can contact this provider via phone number 8604406754 and fax number 8604406757. The mailing address for Kenneth R Peterson is 62 Fort Hill Rd, Groton, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth R Peterson |
|---|---|
| Address | 62 Fort Hill Rd, Groton, Connecticut |
| Phone Number | 8604406754 |
| Fax Number | 8604406757 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1164646741 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2021-06-24 |
Provider Mailing Address Detail
| Address | 62 Fort Hill Rd |
|---|---|
| City | Groton |
| State | Connecticut (CT) |
| Post Code | 63404398 |
| Phone Number | 8604406754 |
| Fax Number | 8604406757 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1702 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Post Comment/ Review Below
What is the unique identifier code issued to Kenneth R Peterson by the Centers for Medicare & Medicaid Services (CMS)?
The Kenneth R Peterson has been assigned the NPI (National Provider Identifier) 1164646741. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Kenneth R Peterson is physically located?
The Kenneth R Peterson is situated at the following address: 62 Fort Hill Rd, Groton, CT 63404398.
What is the Kenneth R Peterson's area of specialization and corresponding taxonomy classification?
The Kenneth R Peterson's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date did Kenneth R Peterson receive its 1164646741 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth R Peterson was assigned its 1164646741 on 2007-04-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Kenneth R Peterson's information last updated?
The Kenneth R Peterson's information was last updated on 2021-06-24.
NPI Number: 1982607784
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