Kenneth Lee Pettit in Chandler - Undersea And Hyperbaric Medicine
Kenneth Lee Pettit - NPI 1447296298
Kenneth Lee Pettit is a Undersea And Hyperbaric Medicine in Chandler, Arizona. Kenneth Lee Pettit practices all healthcare services and medical treatments related to Undersea And Hyperbaric 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 |
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Address | 40 S Kyrene Rd, Chandler, Arizona |
Phone Number | 4807060174 |
Fax Number | 4807060117 |
Sole Proprietor | N |
Credentials | DO |
NPI Number Detail
NPI Number | 1447296298 |
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Provider Enumeration Date | 2006-06-21 |
Last Updated Date | 2020-09-09 |
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 | Undersea And Hyperbaric Medicine |
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Taxonomy | 2083P0011X |
Licence No | 3144 |
Definition: A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infect |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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437609 | AZ | -- |
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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 Undersea And Hyperbaric Medicine, and the taxonomy code that categorizes this field of expertise is 2083P0011X.
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.