TIMOTHY WARREN PETERSON

FORT THOMAS, KY
NPI1720388218
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: KY  PA1799)
Enumeration Date2010-10-30
Last Update Date2015-07-30
Business Address
-- TIMOTHY WARREN PETERSON P.A.
85 N GRAND AVE
FORT THOMAS, KY 41075-1793
Phone number: 859-572-3617
Mailing Address
-- TIMOTHY WARREN PETERSON P.A.
PO BOX 18667
ERLANGER, KY 41018-0667
Phone number: 859-572-3617
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