KENNETH R. PETERSEN

GLENDALE, AZ
NPI1912017104
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  036-072554)
Enumeration Date2006-08-30
Last Update Date2023-06-14
Business Address
KENNETH R. PETERSEN MD
7701 W ASPERA BLVD
GLENDALE, AZ 85308-7947
Phone number: 623-465-6060
Mailing Address
KENNETH R. PETERSEN MD
7702 N ALPINE RD
LOVES PARK, IL 61111-3107
Phone number: 815-971-2000
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