KENNETH D PETERSEN (M.D.) – Obstetrics & Gynecology Physician, NPI 1922092733

KENNETH D PETERSEN (M.D.) is a healthcare provider. based in Goshen, Indiana. specializing in Obstetrics & Gynecology Physician. They hold the professional credentials M.D.. They hold a License No. 01028273 (IN). The NPI Number for KENNETH D PETERSEN (M.D.) is 1922092733

Main info

Male
Name
KENNETH D PETERSEN (M.D.)
NPI
1922092733
Phone
(574) 533-0348
Address
1111 LIGHTHOUSE LANE
Enumeration Date
7 September 2005
Last Update Date
4 February 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for KENNETH D PETERSEN (M.D.)

  • Lighthouse Lane, Goshen, Elkhart County, Indiana, 46526, United States

    GOSHEN, IN 465263824

    Phone: (574) 533-0348

    Fax: (574) 533-0277

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46526)

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Reviews

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Frequently asked questions

What is the standard ID for KENNETH D PETERSEN (M.D.) in the U.S.?
In the U.S., KENNETH D PETERSEN (M.D.) is identified by NPI 1922092733.
Is KENNETH D PETERSEN (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists KENNETH D PETERSEN (M.D.) as active.
What type of care does KENNETH D PETERSEN (M.D.) provide?
KENNETH D PETERSEN (M.D.)'s profile centers on Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to KENNETH D PETERSEN (M.D.)?
KENNETH D PETERSEN (M.D.) shows a connection to Goshen, Indiana in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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