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Kenneth D Petersen, M.D.

Obstetrics & Gynecology Physician in Goshen, IN · enumerated 2005 · practices at Fairhaven Obstetrics & Gynecology, Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1922092733

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Registry record

Entity type Individual (Type 1)
Name Kenneth D Petersen
Credential M.D.
Sex Male
Practice address 1111 Lighthouse Lane, Goshen, IN, 46526
Phone (574) 533-0348
Fax (574) 533-0277
Enumeration date Sep 7, 2005
Last updated in NPPES Feb 4, 2008

Taxonomy & licenses

207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians · License 01028273 (IN) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1922092733 active?
Yes, as of the latest NPPES snapshot, NPI 1922092733 is active (record last updated 2008-02-04).
How do I verify Kenneth Petersen's NPI record?
Cross-check NPI 1922092733 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-02-04.