Amy Renee Peterson

NPI #1295289023 in Campbellsville, Kentucky

Provider Information

NPI Number: 1295289023
Entity Type: Individual
Name: Amy Renee Peterson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Aug 10, 2016
Last Updated: Jan 16, 2018

Practice Location

Address: 121 CASEY ST
City: Campbellsville
State: Kentucky
ZIP Code: 42718-6858
Phone: (270) 465-7768

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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