Kenneth L Pettit Do Llc in Chandler - Family Medicine
Kenneth L Pettit Do Llc - NPI 1750585279
Kenneth L Pettit Do Llc is a Family Medicine in Chandler, Arizona. Kenneth L Pettit Do Llc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kenneth L Pettit Do Llc is 1750585279. The last update date is 2021-01-20.
Kenneth L Pettit Do Llc'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 L Pettit Do Llc is 40 S Kyrene Rd, Chandler, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Kenneth L Pettit Do Llc |
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Address | 40 S Kyrene Rd, Chandler, Arizona |
Phone Number | 4807060174 |
Fax Number | 4807060117 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER/MANA |
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Authorized Official Name | Pettit Vanessa |
Telephone Number | 4807060174 |
NPI Number Detail
NPI Number | 1750585279 |
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Provider Enumeration Date | 2007-06-11 |
Last Updated Date | 2021-01-20 |
Provider Mailing Address Detail
Address | 40 S Kyrene Rd |
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City | Chandler |
State | Arizona (AZ) |
Post Code | 852264675 |
Phone Number | 4807060174 |
Fax Number | 4807060117 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | AZ3344 |
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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What is the Kenneth L Pettit Do Llc's 1750585279?
The Kenneth L Pettit Do Llc's NPI (National Provider Identifier) Number is 1750585279. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kenneth L Pettit Do Llc's physical address?
The Kenneth L Pettit Do Llc is physically located at 40 S Kyrene Rd, in the city of Chandler, AZ, with the postal code 852264675.
What is Kenneth L Pettit Do Llc's area of expertise and its corresponding taxonomy classification?
The Kenneth L Pettit Do Llc's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1750585279 assigned to Kenneth L Pettit Do Llc?
The Kenneth L Pettit Do Llc was issued its 1750585279 on 2007-06-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Kenneth L Pettit Do Llc most recently updated or refreshed?
The details pertaining to the Kenneth L Pettit Do Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-01-20.
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