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Kenneth Peterson, CRNA

NPI 1386131324 · on the registry since 2018

Practice

Address
855 N Westhaven Dr
Oshkosh, WI 54904
Phone
(920) 303-8700
Organisation at this address
Lakeside Neurocare
Aurora Pharmacy Inc
Aurora Medical Group Inc
Aurora Medical Group, Inc.
Aurora Medical Center Of Oshkosh, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
346

Additional practice sites

  • 1010 College St, Oxford, NC
  • 835 S Van Buren St, Green Bay, WI

Registry record

Primary taxonomy
367500000X
367500000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-10-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin