Individual
KEVIN ALEXANDER PETTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-2940
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
70149
WI
2080P0202X
Pediatric Cardiology Physician
Primary
DR.0063901
CO
Other
Enumeration date
04/29/2017
Last updated
07/25/2023
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