Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth Wendell Petersen, DO

Individual provider Orthopaedic Surgery Physician · NPI 1568637395

Dr. Kenneth Wendell Petersen, DO is an Orthopedic Surgery in Harrisonville, Missouri. Graduated from R Franklin University of Med & SCI/Chicago Medical School in 1999, 27 years ago. Practices with Cass Regional Medical Center, a 43-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
27
Trained at
R Franklin University of Med & SCI/Chicago Medical School
Licensed in
KS, MO
In the registry since
2008
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2820 E Rock Haven Rd Ste # 120
Harrisonville, MO 64701-4411
Phone: (816) 380-7662
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 2013002819 (MO)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 05-33327 (KS)

Record details

NPI number1568637395
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 23, 2008
Last updated in NPPESOctober 8, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolR FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduated 1999 (27 years in practice)
Group practice Cass Regional Medical Center — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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