person
Dr. Kenneth D Pearsen, MD
Diagnostic Radiology Physician in Williamsville, New York
NPI 1154387918

Kenneth D Pearsen is a Diagnostic Radiology Physician based in Williamsville, NY and is specialized in Diagnostic Radiology. Kenneth D Pearsen practices in Williamsville, NY and has the professional credentials of MD. The NPI Number for Kenneth D Pearsen is 1154387918 and holds a License No. 181834 (New York).

The current practice location address for Kenneth D Pearsen is 111 N Maplemere Rd Ste 120, Williamsville, NY and can be reached out via phone at 716-836-4646 and via fax at 716-836-4696. You can also correspond with Kenneth D Pearsen through the mailing address at 111 N MAPLEMERE RD STE 120, WILLIAMSVILLE, NY - 14221-3178 (mailing address contact number: 716-836-4646).

Location: 111 N Maplemere Rd Ste 120, Williamsville, NY, 14221-3178
person
Provider Profile Details
NPI Number
1154387918
Provider Name
Kenneth D Pearsen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
111 N Maplemere Rd Ste 120, Williamsville, NY, 14221-3178
Phone Number
716-836-4646
Fax Number
716-836-4696
Provider Enumeration Date
04/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00025335602 01 UNIVERA
P010181834 01 BLUE CHOICE
01230148 05 NY
101326FF 01 PREFERRED CARE
0142865 01 GHI
P020181834 01 BLUE SHIELD ROCHESTER
000911558011 01 BLUE SHIELD WNY
P00005729 01 RR MEDICARE
00025335605 01 UNIVERA
04026003061 01 FIDELIS
1693149 01 INDEPENDENT HEALTH
4195929 01 GHI
000911558015 01 BLUE SHIELD WNY
1818343B 01 NY WORKERS COMPENSATION
institution
Provider Business Practice Location Address Details
Address
111 N Maplemere Rd Ste 120
City
State
Zip
14221-3178
Phone Number
716-836-4646
Fax Number
716-836-4696
person
Provider Business Mailing Address Details
Address
111 N Maplemere Rd Ste 120
City
State
Zip
14221-3178
Phone Number
716-836-4646
Fax Number
716-836-4696
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
181834 (New York)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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