# KENNETH L PETTIT DO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Comprehensive Family Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750585279
- **Authorized official:** VANESSA PETTIT (OWNER/MANAGER)
- **Authorized official phone:** (480) 706-0174

## Contact information

- **Practice address:** 40 S KYRENE RD, SUITE 1, CHANDLER, AZ 85226-4675
- **Practice address phone:** (480) 706-0174
- **Practice address fax:** (480) 706-0117
- **Mailing address:** 40 S KYRENE RD, SUITE 1, CHANDLER, AZ 85226-4675
- **Mailing address phone:** (480) 706-0174
- **Mailing address fax:** (480) 706-0117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | AZ3344 | AZ | Yes |

## Other

- **Enumeration date:** 06/11/2007
- **Last updated:** 01/20/2021
