Individual
DR. KEVIN RICHARD PETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, DAOM
Contact information
Practice address
39 NW LOUISANNA AVE., HAWTHORN HEALING ARTS CENTER, BEND, OR 97701
(541) 330-0334
Mailing address
3062 NW KELLY HILL CT, BEND, OR 97703-7023
(703) 587-1244
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01101
OR
Other
Enumeration date
06/27/2016
Last updated
10/19/2016
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