Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY A PETTINGER, DVM
Active Sole ProprietorVeterinarian · MEDFORD, OR
Registration Details
- NPI Number
- 1730435298
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 1, 2012 (13.784543058814 yrs)
- Last Updated
- Aug 1, 2012
- License
-
6285 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
902 E JACKSON STMEDFORD, OR, 975047025Browse OR providers · Browse ZIP 97504
- Phone
- 5417794893
- Fax
- 5417737714
- Primary Specialty
-
Veterinarian
174M00000X
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.