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
Mailing address2800 E Rock Haven Rd, Harrisonville, MO 64701-4411

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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