Kimberly Ann Pettit M.D.

NPI 1093789299 - Dermatology - 207N00000X

NPI Details
NPI 1093789299
Gender Female
Enumeration Date 02/14/2006
Last Updated 07/23/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
98 N 1100 E
AMERICAN FORK UT, 84003-2935, US
Phone (801) 492-2300
Business Location
PO BOX 27128
SALT LAKE CITY UT, 84127-0128, US
Phone (801) 492-2300
Taxonomy Code 207N00000X
License State Indiana
License Number 01056997A
Remove 1093789299 NPI Number

According to our database, Kimberly Ann Pettit M.D. NPI is 1093789299, taxonomy code is 207N00000X and license number is 01056997A, license state is located at Indiana. Kimberly Ann Pettit M.D. physically located at 98 N 1100 E, American Fork UT, 84003-2935. NPI Number Kimberly Ann Pettit M.D. has the Individual type.

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1093789299 NPI number is provided on an as is basis without warranty of any kind. 1093789299 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Ann Pettit M.D. are for informational purposes only.