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1770574147
PETER PETRENKO
MONTICELLO, KY
NPI
1770574147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KY 34553)
Enumeration Date
2005-11-03
Last Update Date
2010-07-21
Business Address
-- PETER PETRENKO MD
1 S CREEK DR
MONTICELLO, KY 42633-9472
Phone number: 606-348-3365
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Mailing Address
-- PETER PETRENKO MD
1 S CREEK DR
MONTICELLO, KY 42633-9472
Phone number: 606-348-3365
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