Kimberly Ann Pettit in Salt Lake City - Dermatology
Kimberly Ann Pettit - NPI 1093789299
Kimberly Ann Pettit is a Dermatology in Salt Lake City, Utah. Kimberly Ann Pettit practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Kimberly Ann Pettit is 1093789299. The last update date is 2021-10-01.
Kimberly Ann Pettit's current location address is Po Box 27128, Salt Lake City, Utah. You can contact this provider via phone number 8014922300. The mailing address for Kimberly Ann Pettit is Po Box 27128, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Ann Pettit |
|---|---|
| Address | Po Box 27128, Salt Lake City, Utah |
| Phone Number | 8014922300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1093789299 |
|---|---|
| Provider Enumeration Date | 2006-02-14 |
| Last Updated Date | 2021-10-01 |
Provider Mailing Address Detail
| Address | Po Box 27128 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841270128 |
| Phone Number | 8014922300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 01056997A |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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What is the unique 10-digit identifier code assigned to Kimberly Ann Pettit by the Centers for Medicare & Medicaid Services?
The Kimberly Ann Pettit has been issued the NPI (National Provider Identifier) 1093789299 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Kimberly Ann Pettit is geographically located?
The Kimberly Ann Pettit is physically situated at the following location: Po Box 27128, Salt Lake City, UT, 841270128.
What is the Kimberly Ann Pettit's area of specialization and corresponding taxonomy classification?
The Kimberly Ann Pettit's specialty field is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093789299 to Kimberly Ann Pettit?
The Centers for Medicare & Medicaid Services originally issued the 1093789299 to Kimberly Ann Pettit on 2006-02-14.
As of what date was the information regarding Kimberly Ann Pettit, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kimberly Ann Pettit, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-10-01.