Kenneth B Peterson
Family Doctor - Sports Medicine
113 Comanche Rd
Fort Meade
, South Dakota 57741-1002
Kenneth B Peterson
Family Doctor - Sports Medicine
113 Comanche Rd
Fort Meade
, South Dakota 57741-1002
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Kenneth B Peterson
- 113 Comanche Rd
- Fort Meade, SD
- Zip : 57741-1002
- Phone :
Second Address
- Kenneth B Peterson
- 113 Comanche Rd
- Fort Meade, SD
- Zip : 57741-1002
- Phone : (605) 720-7000
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FAQs
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What type of doctor is Kenneth B Peterson
In what state does Kenneth B Peterson practice in?
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Does Kenneth B Peterson offers telemedicine?
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Does Kenneth B Peterson have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 1727 | SD |
National Provider Identifier
| NPI | 1083706659 |
|---|---|
| Provider Name | Kenneth B Peterson |
| First Address | Fort Meade, SD 57741-1002 |
| Second Address | Fort Meade, SD 57741-1002 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/09/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.