Search › California › 207R00000X
Kenneth Pettersen, MD, MPH
NPI 1710371927 · on the registry since 2015
Practice
- Address
- 14445 Olive View Dr # 2d-154
Sylmar, CA 91342 - Phone
- (747) 210-4990
- Fax
- (747) 210-4573
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-12-31
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 California