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Mr. Kenneth S Peterson, NP
Family Nurse Practitioner in Worcester, Massachusetts
NPI 1194744896

Kenneth S Peterson is a Family Nurse Practitioner based in Worcester, MA and is specialized in Family. Kenneth S Peterson practices in Worcester, MA and has the professional credentials of NP. The NPI Number for Kenneth S Peterson is 1194744896 and holds a License No. RN192039 (Massachusetts).

The current practice location address for Kenneth S Peterson is 70 Highland St Ste 1, Worcester, MA and can be reached out via phone at 508-715-6372.

Location: 70 Highland St Ste 1, Worcester, MA, 01609-2730
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194744896
Provider Name
Kenneth S Peterson
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
70 Highland St Ste 1, Worcester, MA, 01609-2730
Phone Number
508-715-6372
Fax Number
Provider Enumeration Date
07/19/2006
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0322938 05 MA
institution
Provider Business Practice Location Address Details
Address
70 Highland St Ste 1
City
Worcester
State
Massachusetts
Zip
01609-2730
Phone Number
508-715-6372
Fax Number
person
Provider Business Mailing Address Details
Address
70 Highland St Ste 1
City
Worcester
State
Massachusetts
Zip
01609-2730
Phone Number
508-715-6372
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN192039 (Massachusetts)
Definition
Definition to come...
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