Individual
KATHRYN N PETTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1958 AL HIGHWAY 157, CULLMAN, AL 35058-0609
(256) 737-2090
(256) 737-2091
Mailing address
PO BOX 2895, CULLMAN, AL 35056-2895
(256) 735-5071
(256) 801-7626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.31188
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376718080
INDIVIDUAL NPI
AL
Enumeration date
04/23/2008
Last updated
01/05/2022
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