Kenneth D. Petersen, M.D.
Obstetrics & Gynecology · Goshen, IN
UnclaimedM.D.NPI 1922092733
- Primary taxonomy
- 207V00000X
- Enumerated
- 2005-09-07
- Practice location
- Goshen, IN
- Last NPPES update
- 2008-02-04
State licenses
- IN · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.