Individual provider · Type 1 NPI

Kenneth D. Petersen, MD

Obstetrics & Gynecology Physician · Goshen, IN

NPI number 1922092733 Active

Practice location

1111 Lighthouse Lane
Goshen, IN 46526-3824

Call (574) 533-0348 Map

Fax (574) 533-0277

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000X01028273 (IN)

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.

5 other providers at this address

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About NPI 1922092733

Kenneth D. Petersen, MD's National Provider Identifier is 1922092733, issued on Sep 7, 2005. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Goshen, IN. The record was last updated on Feb 4, 2008.