Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY WARREN PETERSON, PA-C
ActiveTIMOTHY WARREN PETERSON, PA-C is a Physician Assistant healthcare provider located in UNION, Kentucky. NPI 1720388218 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · UNION, KY
Registration Details
- NPI Number
- 1720388218
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 30, 2010 (15.791999682568 yrs)
- Last Updated
- Oct 27, 2025
- License
-
PA1799 (KY)
Practice Information
- Address
-
605 MAN O WAR BOULEVARDUNION, KY, 410912007Browse KY providers · Browse ZIP 41091
- Phone
- 8595785669
- Fax
- 8593840091
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in UNION, KY
| Name | Credential | NPI |
|---|---|---|
| JARED J PATTON | PA-C | 1194004515 |
| CHRISTI L STROLE | PA-C | 1235480856 |
| TAYLOR MALKEMUS | — | 1053003574 |
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.