Kenneth D Petersen in Goshen - Obstetrics & Gynecology
Kenneth D Petersen - NPI 1922092733
Kenneth D Petersen is a Obstetrics & Gynecology in Goshen, Indiana. Kenneth D Petersen practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Kenneth D Petersen is 1922092733. The last update date is 2008-02-04.
Kenneth D Petersen's current location address is 1111 Lighthouse Lane, Goshen, Indiana. You can contact this provider via phone number 5745330348 and fax number 5745330277. The mailing address for Kenneth D Petersen is 1111 Lighthouse Lane, Goshen, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth D Petersen |
|---|---|
| Address | 1111 Lighthouse Lane, Goshen, Indiana |
| Phone Number | 5745330348 |
| Fax Number | 5745330277 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1922092733 |
|---|---|
| Provider Enumeration Date | 2005-09-07 |
| Last Updated Date | 2008-02-04 |
Provider Mailing Address Detail
| Address | 1111 Lighthouse Lane |
|---|---|
| City | Goshen |
| State | Indiana (IN) |
| Post Code | 465263824 |
| Phone Number | 5745330348 |
| Fax Number | 5745330277 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | 1028273 |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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What is the unique 10-digit identifier code issued to Kenneth D Petersen by the Centers for Medicare & Medicaid Services?
The Kenneth D Petersen has been assigned the NPI (National Provider Identifier) 1922092733 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Kenneth D Petersen is physically located?
The Kenneth D Petersen is physically situated at the following address: 1111 Lighthouse Lane, Goshen, IN, 465263824.
What is Kenneth D Petersen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kenneth D Petersen is Obstetrics & Gynecology, and the corresponding taxonomy classification code for this specialized field is 207V00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1922092733 to Kenneth D Petersen?
The Centers for Medicare & Medicaid Services originally issued the 1922092733 to Kenneth D Petersen on 2005-09-07.
When was the information regarding Kenneth D Petersen most recently updated?
The details pertaining to the Kenneth D Petersen, including its address, specialty, and other relevant information, were last refreshed on 2008-02-04.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA