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Search › Missouri › 207X00000X

Kenneth Petersen, D.O

NPI 1568637395 · on the registry since 2008

Practice

Address
2820 E Rock Haven Rd
Suite # 120
Harrisonville, MO 64701
Phone
(816) 380-7662
Organisation at this address
Gillen Pharmacy Inc
Kccorecasscounty Llc
Cass Regional Medical Center
Cass Regional Medical Center
Harrisonville Family Medicine, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
31

Registry record

Primary taxonomy
207X00000X
207X00000X
Also registered as
207X00000X
Licence states on file
KS, MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-10-08

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 Missouri