Individual
MATTHEW PETTIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
3000 NW 62ND TER, KANSAS CITY, MO 64151-7813
(816) 363-9326
Mailing address
3000 NW 62ND TER, KANSAS CITY, MO 64151-7813
(816) 363-9326
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2002013493
MO
Other
Enumeration date
01/19/2019
Last updated
01/19/2019
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