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Organization
KEVIN R. PETT PHD
Active
Organization
KEVIN R. PETT PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN RICHARD PETT PHD., DAOM, DOM (PHD.)
(703) 587-1244
Entity
Organization
Contact information
Practice address
39 NW LOUISIANA AVE, BEND, OR 97703-3310
(541) 330-0334
(541) 330-6635
Mailing address
3062 NW KELLY HILL CT, BEND, OR 97703-7023
(703) 587-1244
(541) 330-6635
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01101
OR
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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