Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ROBERT M PETERS JR., PA-C
ActiveMR. ROBERT M PETERS JR., PA-C is a Physician Assistant healthcare provider located in FT. KNOX, Kentucky. NPI 1053493882 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FT. KNOX, KY
Registration Details
- NPI Number
- 1053493882
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 20, 2006 (19.63417397369 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PA499 (KY)
Practice Information
- Address
-
851 IRELAND LOOP, CES, IACHFT. KNOX, KY, 40121Browse KY providers · Browse ZIP 40121
- Phone
- 5026249503
- Fax
- 5026249747
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.