Individual
DR. KENNETH D PEARSEN
Active
Individual
DR. KENNETH D PEARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
181834
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025335602
UNIVERA
—
01
—
00025335605
UNIVERA
—
01
—
000911558011
BLUE SHIELD WNY
—
01
—
000911558015
BLUE SHIELD WNY
—
05
—
01230148
—
NY
01
—
0142865
GHI
—
01
—
04026003061
FIDELIS
—
01
—
101326FF
PREFERRED CARE
—
01
—
1693149
INDEPENDENT HEALTH
—
01
—
1818343B
WORKERS COMPENSATION
NY
01
—
4195929
GHI
—
01
—
P00005729
RR MEDICARE
—
01
—
P010181834
BLUE CHOICE
—
01
—
P020181834
BLUE SHIELD ROCHESTER
—
Enumeration date
04/21/2006
Last updated
08/21/2023
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