Search › Kentucky › 363A00000X
Timothy Peterson, PA-C
NPI 1720388218 · on the registry since 2010
Practice
- Address
- 605 Man O War Boulevard
Union, KY 41091 - Phone
- (859) 578-5669
- Fax
- (859) 384-0091
- Organisation at this address
- Summit Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Additional practice sites
- 405 Violet Rd, Crittenden, KY
- 1640 Flossie Dr, Greendale, IN
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- IN, KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky