Individual
BERNADETTE T PEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2626 ALEXANDRIA PIKE STE 100, HIGHLAND HEIGHTS, KY 41076-1530
(859) 301-2663
(859) 817-7848
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
(859) 817-7848
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.006284RX
OH
363A00000X
Physician Assistant
Primary
PA455
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100140440
—
KY
Enumeration date
08/19/2006
Last updated
05/26/2021
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