Keith Pettibon MD

  • NPI 1467744573
According to our database, the NPI number for Keith Pettibon MD is 1467744573 and activated since 13 years ago. Keith Pettibon MD is an individual provider who specializes in Diagnostic Radiology, and the primary practice location is 815 Pennsylvania Ave, Fort Worth, TX 76104. You can also contact Keith Pettibon MD via telephone number is (817) 321-0404. Provider NPI information was last updated on 11/06/2018.

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Overview of Keith Pettibon MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 05/07/2011
  • Last updated: 11/06/2018

Primary Scrop of Practice

  • Taxonomy Code: 2085R0202X
  • Specialty: Diagnostic Radiology
  • License Number: R1614
  • License State: TX

Provider Mailing Address

  • Address: 816 W Cannon St
    Fort Worth, TX 76104
  • Phone: 817-321-0404
  • Fax:

Provider Practice Location

  • Address: 815 Pennsylvania Ave
    Fort Worth, TX 76104
  • Phone: 817-321-0404
  • Fax:

Scope of Practice

  • Taxonomy Code: 2085R0202X
  • Specialty: Diagnostic Radiology
  • License Number: R1614
  • License State: TX
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Keith Pettibon MD?
  • A: The npi number for Keith Pettibon MD is 1467744573.
  • Q: What are Keith Pettibon MD's specialties?
  • A: Keith Pettibon MD's specialties are Diagnostic Radiology and different specialities.
  • Q: What is the medical license for Keith Pettibon MD?
  • A: The medical license number for Keith Pettibon MD is R1614 and issued in TX in USA.
  • Q: Where is Keith Pettibon MD practice location?
  • A: Keith Pettibon MD is practicing at 815 Pennsylvania Ave, Fort Worth, TX 76104.
  • Q: How to contact Keith Pettibon MD?
  • A: You can contact Keith Pettibon MD via 817-321-0404.
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