KENNETH B PETERSON

FORT MEADE, SD
NPI1083706659
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207QS0010X Family Medicine, Sports Medicine
(Licence: SD  1727)
Enumeration Date2006-09-29
Last Update Date2007-07-08
Business Address
-- KENNETH B PETERSON MD
113 COMANCHE RD
FORT MEADE, SD 57741-1002
Phone number: 605-720-7000
Mailing Address
-- KENNETH B PETERSON MD
113 COMANCHE RD
FORT MEADE, SD 57741-1002
Phone number:
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