Individual
KELLY A PETTINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DVM
Contact information
Practice address
902 E JACKSON ST, MEDFORD, OR 97504-7025
(541) 779-4893
(541) 773-7714
Mailing address
902 E JACKSON ST, MEDFORD, OR 97504-7025
(541) 779-4893
(541) 773-7714
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
6285
OR
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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