Kenneth Wendell Petersen in Harrisonville - Orthopaedic Surgery

Kenneth Wendell Petersen - NPI 1568637395

Kenneth Wendell Petersen is a Orthopaedic Surgery in Harrisonville, Missouri. Kenneth Wendell Petersen practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Kenneth Wendell Petersen is 1568637395. The last update date is 2014-10-08.

Kenneth Wendell Petersen's current location address is 2820 E Rock Haven Rd, Harrisonville, Missouri. You can contact this provider via phone number 8163807662. The mailing address for Kenneth Wendell Petersen is 2820 E Rock Haven Rd, Harrisonville, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Wendell Petersen
Address 2820 E Rock Haven Rd, Harrisonville, Missouri
Phone Number 8163807662
Fax Number
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1568637395
Provider Enumeration Date 2008-04-23
Last Updated Date 2014-10-08

Provider Mailing Address Detail

Address 2820 E Rock Haven Rd
City Harrisonville
State Missouri (MO)
Post Code 647014411
Phone Number 8163807662
Fax Number

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery
Taxonomy 207X00000X
Licence No 05-33327
Definition:
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200570110A KS --

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FAQs about Kenneth Wendell Petersen

What is the unique 10-digit identification code assigned to Kenneth Wendell Petersen by the Centers for Medicare & Medicaid Services?

The Kenneth Wendell Petersen has been issued the NPI (National Provider Identifier) 1568637395, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Kenneth Wendell Petersen is located?

The Kenneth Wendell Petersen is situated at the following address: 2820 E Rock Haven Rd, Harrisonville, MO, 647014411.

What is the area of specialization for Kenneth Wendell Petersen, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kenneth Wendell Petersen is Orthopaedic Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 207X00000X.

When did Kenneth Wendell Petersen receive its 1568637395 assignment?

The Kenneth Wendell Petersen was assigned its 1568637395 on 2008-04-23, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Kenneth Wendell Petersen most recently updated or revised?

The details related to Kenneth Wendell Petersen, including its address, specialty, and other relevant information, were last updated or revised on 2014-10-08.

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