Search › Colorado › 207XS0117X
Kenneth Pettine, M.D
NPI 1720069198 · on the registry since 2005
Practice
- Address
- 4795 Larimer Parkway
Johnstown, CO 80534 - Phone
- (970) 669-8881
- Fax
- (970) 669-4200
- Organisation at this address
- Altitude Dermatology Pc
Rocky Mountain Spine & Orthopedics
Rocky Mountain Spine & Orthopedics Llc
Colorado Spine Institute Professional Llc
Colorado Spine Institute Professional LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 207XS0117X
207XS0117X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-03-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado