Kenneth Petersen, M.D.
NPI 1922092733 · Obstetrics & Gynecology Physician · Goshen, IN
Kenneth Petersen, M.D. is a Obstetrics & Gynecology Physician provider in Goshen, IN (NPI 1922092733).
Provider details
- NPI number
- 1922092733
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 01028273 (IN)
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
100% 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
- 2005-09-07
- Last updated
- 2008-02-04
Frequently asked questions
- What is Kenneth Petersen's NPI number?
- Kenneth Petersen's National Provider Identifier (NPI) is 1922092733, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Petersen's specialty?
- Kenneth Petersen is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Petersen located?
- Kenneth Petersen's practice location on file with NPPES is 1111 Lighthouse Lane, Goshen, IN 46526-3824.
- What is Kenneth Petersen's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Petersen is (574) 533-0348.
- Is Kenneth Petersen's NPI active?
- Yes — Kenneth Petersen's NPI (1922092733) is active in the NPPES registry as of the last update on 2008-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.