Individual provider · Type 1 NPI
Kenny J. Peterson, MD
Obstetrics & Gynecology Physician · Misawa Ab, JP
Practice location
35 Mdos/sgopo
Misawa Ab, JP 96319
Fax (315) 226-6271
Mailing address
Psc 76 Box 7634
Apo, AP 96319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Physician Primary | 207V00000X | 35-07-3341-P (OH) |
Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
About NPI 1104815315
Kenny J. Peterson, MD's National Provider Identifier is 1104815315, issued on Oct 19, 2005. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Misawa Ab, JP. The record was last updated on Jul 13, 2026.