Organization
KEVIN R. PETT PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN RICHARD PETT PHD., DAOM, DOM (PHD.)
(703) 587-1244
Entity
Organization
Contact information
Practice address
39 NW LOUISIANA AVE, BEND, OR 97703-3310
(541) 330-0334
(541) 330-6635
Mailing address
3062 NW KELLY HILL CT, BEND, OR 97703-7023
(703) 587-1244
(541) 330-6635
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01101
OR
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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