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Individual

DR. PETER S. TATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1760 NICHOLASVILLE RD STE 601, LEXINGTON, KY 40503-1474
(859) 785-5141
(859) 221-8176
Mailing address
1760 NICHOLASVILLE RD STE 601, LEXINGTON, KY 40503-1474
(859) 785-5141
(859) 221-8176

Taxonomy

Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
27081
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27081
STATE MEDICAL LICENSE
KY
Enumeration date
07/05/2005
Last updated
03/07/2023
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