Individual
JAMES MICHAEL PETIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 N GRAND AVE, FORT THOMAS, KY 41075-1755
(859) 781-0431
(859) 781-0473
Mailing address
20 N GRAND AVE, FORT THOMAS, KY 41075-1755
(859) 781-0431
(859) 781-0473
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20528
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64205289
—
KY
Enumeration date
08/11/2005
Last updated
07/08/2007
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