Kenny Peterson, M.D.
NPI 1104815315 · Obstetrics & Gynecology Physician · Misawa Ab
Kenny Peterson, M.D. is a Obstetrics & Gynecology Physician provider in Misawa Ab (NPI 1104815315).
Provider details
- NPI number
- 1104815315
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- License
- 35-07-3341-P (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-10-19
- Last updated
- 2022-07-21
Frequently asked questions
- What is Kenny Peterson's NPI number?
- Kenny Peterson's National Provider Identifier (NPI) is 1104815315, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenny Peterson's specialty?
- Kenny Peterson is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Kenny Peterson located?
- Kenny Peterson's practice location on file with NPPES is 35 Mdos/Sgopo, Misawa Ab, 96319.
- What is Kenny Peterson's phone number?
- The practice phone number listed in the NPPES registry for Kenny Peterson is (315) 226-6150.
- Is Kenny Peterson's NPI active?
- Yes — Kenny Peterson's NPI (1104815315) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.