NPI 1093789299

Kimberly Ann Pettit, MD

Practitioner Dermatology Physician American Fork, UT

Practice location

Address: 98 N 1100 E Suite 301, American Fork, UT 84003-2935
Phone: (801) 492-2300
Mailing address: PO Box 27128, Salt Lake City, UT 84127-0128

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 01056997A (IN)

Other Dermatology providers in Utah →

Registry record

NPI: 1093789299
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Feb 2006
Record last updated: 1 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.