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Search › Arizona › Internal Medicine Physician

Kenneth Petersen, MD

NPI 1912017104 · on the registry since 2006

Practice

Address
7701 W Aspera Blvd
Glendale, AZ 85308
Phone
(623) 465-6060
Fax
(623) 242-5833
Organisation at this address
Banner Pharmacy Services Llc
Banner Physician Specialists Arizona Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
32

Registry record

Primary taxonomy
Internal Medicine Physician
207R00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-01

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 Arizona