Individual
AUSTIN MICHAEL PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 TRIPLE D DR, TAYLORSVILLE, KY 40071-9277
(502) 500-5041
Mailing address
201 TRIPLE D DR, TAYLORSVILLE, KY 40071-9277
(502) 500-5041
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4001573
KY
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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