| Dr Kenneth A Pettine, MD | |
|
4795 Larimer Parkway, Johnstown, CO 80534 | |
| (970) 669-8881 | |
| (970) 669-4200 |
| Full Name | Dr Kenneth A Pettine |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine |
| Location | 4795 Larimer Parkway, Johnstown, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720069198 | NPI | - | NPPES |
| 01295245 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | 29524 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth A Pettine, MD 4795 Larimer Parkway, Johnstown, CO 80534 Ph: (970) 669-8881 | Dr Kenneth A Pettine, MD 4795 Larimer Parkway, Johnstown, CO 80534 Ph: (970) 669-8881 |
Dr. Edward Jeffrey Donner, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4795 Larimer Pkwy, Johnstown, CO 80534 Phone: 970-342-2220 Fax: 970-342-2221 | |
Dr. Fernando Techy, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4450 Union St Ste 200, Johnstown, CO 80534 Phone: 970-315-4018 |