KELLY R PETTIT

REDMOND, OR
NPI1659454544
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NM  MD2006-0194)
Enumeration Date2006-10-23
Last Update Date2022-07-01
Business Address
KELLY R PETTIT MD
1253 NW CANAL BLVD
REDMOND, OR 97756-1334
Phone number: 541-548-8131
Mailing Address
KELLY R PETTIT MD
275 E 200 S
SALT LAKE CITY, UT 84111-2002
Phone number: 800-366-1884
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