Kenneth B Peterson in Fort Meade - Sports Medicine
Kenneth B Peterson - NPI 1083706659
Kenneth B Peterson is a Sports Medicine in Fort Meade, South Dakota. Kenneth B Peterson practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Kenneth B Peterson is 1083706659. The last update date is 2007-07-08.
Kenneth B Peterson's current location address is 113 Comanche Rd, Fort Meade, South Dakota. You can contact this provider via phone number 6057207000. The mailing address for Kenneth B Peterson is 113 Comanche Rd, Fort Meade, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth B Peterson |
|---|---|
| Address | 113 Comanche Rd, Fort Meade, South Dakota |
| Phone Number | 6057207000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1083706659 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 113 Comanche Rd |
|---|---|
| City | Fort Meade |
| State | South Dakota (SD) |
| Post Code | 577411002 |
| Phone Number | 6057207000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 1727 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Post Comment/ Review Below
What is the Kenneth B Peterson's unique identification number?
The Kenneth B Peterson has been assigned the NPI (National Provider Identifier) Number 1083706659 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Kenneth B Peterson is physically located?
The Kenneth B Peterson is physically situated at the following address: 113 Comanche Rd, Fort Meade, SD, 577411002.
What is Kenneth B Peterson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kenneth B Peterson is Sports Medicine, and the taxonomy code that classifies this field of practice is 207Qs0010X.
On what date did the Centers for Medicare & Medicaid Services issue the 1083706659 to Kenneth B Peterson?
The Kenneth B Peterson received its 1083706659 assignment from the Centers for Medicare & Medicaid Services on 2006-09-29.
As of what date were the details pertaining to Kenneth B Peterson last refreshed?
The information related to the Kenneth B Peterson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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