Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY PETTIS
Active Sole ProprietorKELLY PETTIS is a Case Management Agency healthcare provider located in COLUMBUS, Georgia. NPI 1649939547 is currently active in the NPPES registry. Verify at CMS.
Case Management Agency · COLUMBUS, GA
Registration Details
- NPI Number
- 1649939547
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 8, 2021 (4.6963092450647 yrs)
- Last Updated
- Dec 8, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
22 ARTILLERY DRCOLUMBUS, GA, 319034123Browse GA providers · Browse ZIP 31903
- Phone
- 7068409979
- Primary Specialty
-
Case Management Agency
251B00000X
Other Case Management Agency Providers in COLUMBUS, GA
| Name | Credential | NPI |
|---|---|---|
| ARLENA SHAW | M.S. | 1700216397 |
| AILEEN KNOTT | — | 1689086043 |
| PORCHIA RAWLS | — | 1942655220 |
| KALAYLA GILBERT | — | 1275052482 |
| LISA MARIE DIONNE | — | 1912410333 |
| JEREMY RUSSHARD LOWE | — | 1780177816 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.