Search › Indiana › Obstetrics & Gynecology Physician
Kenneth Petersen, M.D
NPI 1922092733 · on the registry since 2005
Practice
- Address
- 1111 Lighthouse Lane
Goshen, IN 46526 - Phone
- (574) 533-0348
- Fax
- (574) 533-0277
- Organisation at this address
- Fairhaven Obstetrics & Gynecology, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Obstetrics & Gynecology Physician
207V00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-02-04
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 Indiana