Organization
K E PITTS MD PC
Active
Organization
K E PITTS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH PITTS M D (PRESIDENT)
(810) 229-0350
Entity
Organization
Contact information
Practice address
4522 OAK POINTE DR, BRIGHTON, MI 48116-9184
(810) 229-0350
(810) 844-0567
Mailing address
4522 OAK POINTE DR, BRIGHTON, MI 48116-9184
(810) 229-0350
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
KP0200361
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KP020031
STATE LICENCES
MI
Enumeration date
11/08/2007
Last updated
11/19/2009
Update your record
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