Kenneth A Pettine in Johnstown - Orthopaedic Surgery Of The Spine
Kenneth A Pettine - NPI 1720069198
Kenneth A Pettine is a Orthopaedic Surgery Of The Spine in Johnstown, Colorado. Kenneth A Pettine practices all healthcare services and medical treatments related to Orthopaedic Surgery Of The Spine. The NPI Number for Kenneth A Pettine is 1720069198. The last update date is 2015-03-23.
Kenneth A Pettine's current location address is 4795 Larimer Parkway, Johnstown, Colorado. You can contact this provider via phone number 9706698881 and fax number 9706694200. The mailing address for Kenneth A Pettine is 4795 Larimer Parkway, Johnstown, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth A Pettine |
|---|---|
| Address | 4795 Larimer Parkway, Johnstown, Colorado |
| Phone Number | 9706698881 |
| Fax Number | 9706694200 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1720069198 |
|---|---|
| Provider Enumeration Date | 2005-11-10 |
| Last Updated Date | 2015-03-23 |
Provider Mailing Address Detail
| Address | 4795 Larimer Parkway |
|---|---|
| City | Johnstown |
| State | Colorado (CO) |
| Post Code | 80534 |
| Phone Number | 9706698881 |
| Fax Number | 9706694200 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery Of The Spine |
|---|---|
| Taxonomy | 207Xs0117X |
| Licence No | 29524 |
|
Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorde |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1295245 | CO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kenneth A Pettine by the Centers for Medicare & Medicaid Services?
The Kenneth A Pettine has been issued the NPI (National Provider Identifier) 1720069198 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kenneth A Pettine?
The Kenneth A Pettine is physically situated at 4795 Larimer Parkway, in the city of Johnstown, state of CO, with the postal code 80534.
What is Kenneth A Pettine's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kenneth A Pettine is Orthopaedic Surgery Of The Spine, and the taxonomy code that classifies this field of practice is 207Xs0117X.
On what date did Kenneth A Pettine receive its 1720069198 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth A Pettine was assigned its 1720069198 on 2005-11-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Kenneth A Pettine last refreshed?
The information related to the Kenneth A Pettine, including its address, specialty, and other relevant details, was last updated on 2015-03-23.
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