Kenneth S Peterson is a Family in Worcester, Massachusetts. Kenneth S Peterson practices all healthcare services and medical treatments related to Family. The NPI Number for Kenneth S Peterson is 1194744896. The last update date is 2018-07-18.
Kenneth S Peterson's current location address is 26 Queen Street, Worcester, Massachusetts. You can contact this provider via phone number 5088607800 and fax number 5088607973. The mailing address for Kenneth S Peterson is 26 Queen Street, Worcester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth S Peterson |
|---|---|
| Address | 26 Queen Street, Worcester, Massachusetts |
| Phone Number | 5088607800 |
| Fax Number | 5088607973 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1194744896 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2018-07-18 |
Provider Mailing Address Detail
| Address | 26 Queen Street |
|---|---|
| City | Worcester |
| State | Massachusetts (MA) |
| Post Code | 16102473 |
| Phone Number | 5088607800 |
| Fax Number | 5088607973 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | RN192039 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 322938 | MA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth S Peterson by the Centers for Medicare & Medicaid Services (CMS)?
The Kenneth S Peterson has been assigned the NPI (National Provider Identifier) 1194744896. 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 S Peterson is physically located?
The Kenneth S Peterson is situated at the following address: 26 Queen Street, Worcester, MA 16102473.
What is the area of specialization for Kenneth S Peterson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kenneth S Peterson is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1194744896 to Kenneth S Peterson?
The Centers for Medicare & Medicaid Services assigned the 1194744896 to Kenneth S Peterson on 2006-07-19.
As of what date were the details related to Kenneth S Peterson most recently updated or revised?
The information pertaining to Kenneth S Peterson, including its address, specialty, and other relevant details, was last updated or revised on 2018-07-18.