Individual
KIMBERLY ANN PETTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
98 N 1100 E, SUITE 301, AMERICAN FORK, UT 84003-2935
(801) 492-2300
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 492-2300
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01056997A
IN
Other
Enumeration date
02/14/2006
Last updated
10/01/2021
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