Organization
KENNETH L PETTIT DO LLC
Active
Other names
Comprehensive Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA PETTIT (OWNER/MANAGER)
(480) 706-0174
Entity
Organization
Contact information
Practice address
40 S KYRENE RD, SUITE 1, CHANDLER, AZ 85226-4675
(480) 706-0174
(480) 706-0117
Mailing address
40 S KYRENE RD, SUITE 1, CHANDLER, AZ 85226-4675
(480) 706-0174
(480) 706-0117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AZ3344
AZ
Other
Enumeration date
06/11/2007
Last updated
01/20/2021
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