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Kenneth D Petersen, MD
Obstetrics & Gynecology Physician in Goshen, Indiana
NPI 1922092733

Kenneth D Petersen is a Obstetrics & Gynecology Physician based in Goshen, IN. Kenneth D Petersen practices in Goshen, IN and has the professional credentials of MD. The NPI Number for Kenneth D Petersen is 1922092733 and holds a License No. 01028273 (Indiana).

The current practice location address for Kenneth D Petersen is 1111 Lighthouse Lane, Goshen, IN and can be reached out via phone at 574-533-0348 and via fax at 574-533-0277.

Location: 1111 Lighthouse Lane, Goshen, IN, 46526-3824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922092733
Provider Name
Kenneth D Petersen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1111 Lighthouse Lane, Goshen, IN, 46526-3824
Phone Number
574-533-0348
Fax Number
574-533-0277
Provider Enumeration Date
09/07/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1111 Lighthouse Lane
City
Goshen
State
Indiana
Zip
46526-3824
Phone Number
574-533-0348
Fax Number
574-533-0277
person
Provider Business Mailing Address Details
Address
1111 Lighthouse Lane
City
Goshen
State
Indiana
Zip
46526-3824
Phone Number
574-533-0348
Fax Number
574-533-0277
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
01028273 (Indiana)
Definition
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.
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