Individual provider · Type 1 NPI

Kenneth R. Petersen, MD

Internal Medicine Physician · Glendale, AZ

NPI number 1912017104 Active

Practice location

7701 W Aspera Blvd
Glendale, AZ 85308-7947

Call (623) 465-6060 Map

Fax (623) 242-5833

Mailing address

7701 W Aspera Blvd Ste 201
Glendale, AZ 85308-7947

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician Primary 207R00000X64419 (AZ)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1912017104

Kenneth R. Petersen, MD's National Provider Identifier is 1912017104, issued on Aug 30, 2006. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Glendale, AZ. The record was last updated on Oct 1, 2025.