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KENNETH R PETERSON D.C.
NPI 1164646741
Chiropractor in Groton, CT

Active since April 13, 2007
62 FORT HILL RD STE B, GROTON, CT 06340(860) 440-6754(860) 495-0043 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenneth R Peterson D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH R PETERSON D.C. (NPI 1164646741) is an individual chiropractor in Groton, Connecticut, licensed in Connecticut (001702) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1164646741
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameKENNETH R PETERSONCredential: D.C.
Location Address62 FORT HILL RD STE BGroton, CT 06340-4398
Mailing Address62 Fort Hill Rd, Ste BGroton, CT 06340-4398 · (860) 440-6754 · Fax (860) 440-6757
Phone(860) 440-6754
Fax(860) 495-0043
Sole ProprietorNo
Enumeration DateApril 13, 2007
Last NPPES UpdateJune 24, 2021
NPPES CertifiedJune 24, 2021
✔ NPI 1164646741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CT · 001702
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
62 FORT HILL RD STE B, Groton, CT 06340
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Peterson's NPI number?

The NPI number for Kenneth Peterson is 1164646741. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Where is Kenneth Peterson located?

Kenneth Peterson practices at 62 Fort Hill Rd Ste B, Groton, CT 06340. The listed phone number is (860) 440-6754.

What is Kenneth Peterson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Peterson was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.