IndividualActive
John Peterson, MD
NPI 1558369934 · Infectious Disease Physician · Edgewood, KY
Provider details
- NPI number
- 1558369934
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 39552 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
20 Medical Village Dr
Suite 355
Edgewood, KY 41017-5401
Phone: (859) 344-1512
Fax: (859) 331-3698
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 635283
Cincinnati, OH 45263-5283
Additional practice locations (1)
- 1 Medical Village DrEdgewood, KY 41017-3403Phone: (859) 344-1512Fax: (859) 331-3698
Registry dates
- Enumerated
- 2005-07-11
- Last updated
- 2026-02-26
- Certified
- 2026-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.