Organization
KENNETH E. PITTS, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH E PITTS MD (OWNER/PROVIDER)
(256) 883-9044
Entity
Organization
Contact information
Practice address
185 WHITESPORT DR SW STE 4, HUNTSVILLE, AL 35801-6487
(256) 883-0944
(256) 883-0260
Mailing address
185 WHITESPORT DR SW STE 4, HUNTSVILLE, AL 35801-6487
(256) 883-0944
(256) 883-0260
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
13214
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000083930
—
AL
Enumeration date
04/06/2012
Last updated
10/31/2012
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