MR. KENNETH R PETERSEN RPH
NPI 1972879401
Pharmacist in Lacey, WA
About Mr. Kenneth R Petersen Rph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KENNETH R PETERSEN RPH (NPI 1972879401) is an individual pharmacist in Lacey, Washington, licensed in Washington (PH00019664) and active in the NPI registry since March 2012.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LACEY, WA 98516
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 Petersen's NPI number?
The NPI number for Kenneth Petersen is 1972879401. It was assigned to this individual provider in the NPPES registry on March 29, 2012.
Where is Kenneth Petersen located?
Kenneth Petersen practices at 5500 Martin Way E, Lacey, WA 98516. The listed phone number is (360) 456-4057.
What is Kenneth Petersen's specialty?
The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.
When was this NPI record last updated?
The NPPES record for Kenneth Petersen was last updated on March 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.