Peterson, Kenneth B

Peterson, Kenneth B is an individual health care provider with primary practice located at 113 Comanche Rd , Fort Meade SD 57741-1002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Peterson, Kenneth B can be contacted via phone (605) 720-7000.

Contact Information

Primary practice address
113 Comanche Rd Fort Meade SD 57741-1002
Phone: (605) 720-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 1727 South Dakota

Profile Details

NPI number 1083706659
LBN Legal business name Peterson, Kenneth B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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