Individual
MR. ROBERT M PETERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
851 IRELAND LOOP, CES, IACH, FT. KNOX, KY 40121
(502) 624-9503
(502) 624-9747
Mailing address
440 CEDAR HILL DR, ELIZABETHTOWN, KY 42701-8695
(502) 624-9503
(502) 624-9747
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA499
KY
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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