Kenneth R. Petersen MD

  • NPI 1912017104
According to our database, the NPI number for Kenneth R. Petersen MD is 1912017104 and activated since 17 years ago. Kenneth R. Petersen MD is an individual provider who specializes in Internal Medicine, and the primary practice location is 7702 N Alpine Rd, Loves Park, IL 61111. You can also contact Kenneth R. Petersen MD via telephone number is (815) 971-2000. Provider NPI information was last updated on 01/22/2015.

Recently Active NPIs

Overview of Kenneth R. Petersen MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/30/2006
  • Last updated: 01/22/2015

Primary Scrop of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: 036-072554
  • License State: IL

Provider Mailing Address

  • Address: 7702 N Alpine Rd
    Loves Park, IL 61111
  • Phone: 815-971-2000
  • Fax: 815-971-9266

Provider Practice Location

  • Address: 7702 N Alpine Rd
    Loves Park, IL 61111
  • Phone: 815-971-2000
  • Fax: 815-971-9266

Scope of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: 036-072554
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 036072554
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: IL
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kenneth R. Petersen MD?
  • A: The npi number for Kenneth R. Petersen MD is 1912017104.
  • Q: What are Kenneth R. Petersen MD's specialties?
  • A: Kenneth R. Petersen MD's specialties are Internal Medicine and different specialities.
  • Q: What is the medical license for Kenneth R. Petersen MD?
  • A: The medical license number for Kenneth R. Petersen MD is 036-072554 and issued in IL in USA.
  • Q: Where is Kenneth R. Petersen MD practice location?
  • A: Kenneth R. Petersen MD is practicing at 7702 N Alpine Rd, Loves Park, IL 61111.
  • Q: How to contact Kenneth R. Petersen MD?
  • A: You can contact Kenneth R. Petersen MD via 815-971-2000.