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Individual

DR. JAMES PETTEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1210 KY HIGHWAY 36 E, SUITE 1D, CYNTHIANA, KY 41031-7490
(859) 234-1707
(859) 234-1768
Mailing address
1210 KY HIGHWAY 36 E, SUITE 1D, CYNTHIANA, KY 41031-7490
(859) 234-1707
(859) 234-1768

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
27915
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100041310
KY
Enumeration date
01/06/2006
Last updated
01/18/2015
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