DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KEVIN PETTUS, MD

Active

DR. KEVIN PETTUS, MD is a Family Medicine healthcare provider located in LANCASTER, Kentucky. NPI 1679641609 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · LANCASTER, KY

Registration Details

NPI Number
1679641609
Provider Type
Individual
Gender
Male
NPI Issued
Nov 30, 2006 (19.561846526629 yrs)
Last Updated
Jul 31, 2009
Licenses
41148 (KY)
01056257A (IN)
41148 (KY)

Practice Information

Address
7786 LEXINGTON RD
LANCASTER, KY, 404449119
Browse KY providers · Browse ZIP 40444
Phone
8595484114
Fax
8595482718
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine

Other Family Medicine Providers in LANCASTER, KY

Name Credential NPI
DR. JAMES ROBERT WERKMEISTER M.D. 1295708857
DR. TARIQ A ARAIN M.D. 1215979711
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.