DR. KENNETH DEAN PETERSON (NPI# 1386768265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386768265 |
| Entity Type | Individual |
| Full Name | DR. KENNETH DEAN PETERSON |
| Credential | DC, ND |
| Practice Address |
1002 W Elm Ave Hermiston OR 97838-2711 |
| Mailing Address |
Po Box 211 Hermiston OR 97838-0211 |
| Practice Telephone | 5415676277 |
| Practice Fax Number | 5415679055 |
| Mailing Telephone | 5415676277 |
| Mailing Fax Number | 5415679055 |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 111N00000X | Chiropractor | 1037 | OR | Chiropractic Providers |
| X | 175F00000X | Naturopath | 250 | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871565788 | Kenneth A Peterson | Optometrist | 911 Oak Park Blvd Ste 104, Pismo Beach, CA 93449-3406 | 2006-02-03 |
| 1386131324 | Kenneth D Peterson | Nurse Anesthetist, Certified Registered | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2018-04-16 |
| 1912140351 | Kenneth Brian Peterson | Internal Medicine | 8757 E Bell Rd, Scottsdale, AZ 85260-1322 | 2009-04-15 |
| 1164646741 | Kenneth Roy Peterson | Chiropractor | 76 Fort Hill Rd, Groton, CT 06340-4333 | 2007-04-13 |
| 1083706659 | Kenneth B Peterson | Family Medicine | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2006-09-29 |
| 1053321497 | Kenneth L Peterson | Dentist | 165 Nw 1st Ave, John Day, OR 97845-1101 | 2006-08-08 |
| 1194744896 | Kenneth S Peterson | Nurse Practitioner | 26 Queen St, Worcester, MA 01610 | 2006-07-19 |
| 1144287707 | Kenneth P Peterson | Anesthesiology | 15910 Ventura Blvd, Suite 1502, Encino, CA 91436-2802 | 2006-04-27 |
| Street Address |
1002 W ELM AVE |
| City | HERMISTON |
| State | OR |
| Zip Code | 97838-2711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043372303 | Kenzie Lynne Maloy | Chiropractor | 1002 W Elm Ave, Hermiston, OR 97838-2711 | 2006-12-14 |
| 1073010880 | Anton Lynn Alder | Naturopath | 1002 W Elm Ave, Hermiston, OR 97838 | 2018-04-09 |
| 1437273497 | Kristopher B Peterson, Dc PC | Chiropractor | 1002 W Elm Ave, Hermiston, OR 97838-2711 | 2007-03-16 |
| 1790810844 | Kristopher Bryan Peterson | Chiropractor | 1002 W Elm Ave, Hermiston, OR 97838-2711 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275169096 | Aaron Nelson Fitzcharles I | Pharmacist | Rite Pharmacy 835 S Hwy 395, Hermiston, OR 97838 | 2020-03-13 |
| 1558921494 | Hermiston Neck Back and Accident Speacialist | Chiropractor | 1055 S Hwy 395, Hermiston, OR 97838 | 2019-06-13 |
| 1598211997 | Maria Faaeteete | Registered Nurse | 600 Nw 11th St. Suite E15, Hermiston, OR 97838 | 2016-08-26 |
| 1013362649 | Bianka Nydia Munoz | Chiropractor | 215 Sw 3rd St, Ste B and C, Hermiston, OR 97838 | 2016-05-02 |
| 1801280896 | Sarah Harris | Counselor | 595 N.w. 11th Street, Hermiston, OR 97838 | 2015-03-27 |
| 1447677612 | Darren M Ernst | Nurse Anesthetist, Certified Registered | 610 Nw 11th St., Hermiston, OR 97838 | 2014-03-25 |
| 1558704460 | Torrie A Griggs | Specialist | 225 N 1st Street, Hermiston, OR 97838 | 2013-04-10 |
| 1356691869 | Carol Louise Johnson | Counselor | 331 Southeast 2nd Street, Pendleton, OR 97838 | 2012-09-12 |
| 1568717817 | Devin L Christensen | Massage Therapist | 1155 W. Linda Ave., Ste. B, Hermiston, OR 97838 | 2012-07-23 |
| 1275895310 | Lina Isabel Castillo | Pediatrics | 600 Nw11th Street, Suite E33, Hermiston, OR 97838 | 2012-06-14 |
| Find all providers in zip 97838 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558921494 | Hermiston Neck Back and Accident Speacialist | Chiropractor | 1055 S Hwy 395, Hermiston, OR 97838 | 2019-06-13 |
| 1013362649 | Bianka Nydia Munoz | Chiropractor | 215 Sw 3rd St, Ste B and C, Hermiston, OR 97838 | 2016-05-02 |
| 1356618060 | Rebecca J. Cannon, D.c,p.c | Chiropractor | 405 N 1st St Ste 110, Hermiston, OR 97838-1843 | 2011-11-23 |
| 1043372303 | Kenzie Lynne Maloy | Chiropractor | 1002 W Elm Ave, Hermiston, OR 97838-2711 | 2006-12-14 |
| 1629155684 | Floyd Arnold Turnbull | Chiropractor | 225 N 1st Place, Hermiston, OR 97838 | 2006-11-01 |
| 1073693180 | Michael K. Palmblad | Chiropractor | 225 N 1st Pl, Hermiston, OR 97838-1754 | 2006-10-16 |
| 1427068113 | Pamela Kay Johnson | Chiropractor | 935 W Orchard Ave, Hermiston, OR 97838-1536 | 2006-08-08 |
| 1316459092 | Christopher Keith Scott | Chiropractor | 620 Nw 11th St Ste M103, Hermiston, OR 97838-6941 | 2017-11-02 |
| 1003137977 | Joanna Rae Sutton | Chiropractor | 935 W Orchard Ave, Hermiston, OR 97838-1536 | 2010-06-15 |
| 1932349057 | Chambers Chiropractic | Chiropractor | 1155 W Linda Ave, Ste B, Hermiston, OR 97838-9601 | 2009-03-02 |
| Find all providers in HERMISTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.