TIMOTHY PETERSON, PA-C

Physician Assistant

Active Individual
NPI: 1720388218

Practice Address

605 MAN O WAR BOULEVARD
Union, KY 41091

Phone: (859) 578-5669

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PA1799 (KY)

Frequently Asked Questions

NPI 1720388218 is the National Provider Identifier for TIMOTHY PETERSON, PA-C, a Physician Assistant provider located in Union, KY. This NPI was enumerated on October 30, 2010.
TIMOTHY PETERSON, PA-C practices at 605 MAN O WAR BOULEVARD, Union, KY 41091.

Quick Facts

NPI
1720388218
Type
Individual
Enumerated
Oct 30, 2010
Last Updated
Oct 27, 2025

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