Kenneth Lee Pettit in Chandler - Family Medicine
Kenneth Lee Pettit - NPI 1447296298
Kenneth Lee Pettit is a Family Medicine in Chandler, Arizona. Kenneth Lee Pettit practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kenneth Lee Pettit is 1447296298. The last update date is 2020-09-09.
Kenneth Lee Pettit's current location address is 40 S Kyrene Rd, Chandler, Arizona. You can contact this provider via phone number 4807060174 and fax number 4807060117. The mailing address for Kenneth Lee Pettit is 40 S Kyrene Rd, Chandler, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Lee Pettit |
|---|---|
| Address | 40 S Kyrene Rd, Chandler, Arizona |
| Phone Number | 4807060174 |
| Fax Number | 4807060117 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1447296298 |
|---|---|
| Provider Enumeration Date | 2006-06-21 |
| Last Updated Date | 2020-09-09 |
Provider Mailing Address Detail
| Address | 40 S Kyrene Rd |
|---|---|
| City | Chandler |
| State | Arizona (AZ) |
| Post Code | 852264675 |
| Phone Number | 4807060174 |
| Fax Number | 4807060117 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 3144 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 437609 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kenneth Lee Pettit by the Centers for Medicare & Medicaid Services?
The Kenneth Lee Pettit has been assigned the NPI (National Provider Identifier) 1447296298 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Kenneth Lee Pettit's physical address?
The Kenneth Lee Pettit is physically located at 40 S Kyrene Rd, in the city of Chandler, AZ, with the postal code 852264675.
What is Kenneth Lee Pettit's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kenneth Lee Pettit is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1447296298 to Kenneth Lee Pettit?
The Centers for Medicare & Medicaid Services originally issued the 1447296298 to Kenneth Lee Pettit on 2006-06-21.
As of what date were the details pertaining to Kenneth Lee Pettit last refreshed?
The information related to the Kenneth Lee Pettit, including its address, specialty, and other relevant details, was last updated on 2020-09-09.