Timothy Warren Peterson, PA-C

NPI #1720388218 in Union, Kentucky

Provider Information

NPI Number: 1720388218
Entity Type: Individual
Name: Timothy Warren Peterson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 30, 2010
Last Updated: Oct 27, 2025

Practice Location

Address: 605 MAN O WAR BOULEVARD
City: Union
State: Kentucky
ZIP Code: 41091-2007
Phone: (859) 578-5669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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