| J.m. Petit, M.d. P.s.c. | |
|
20 N Grand Ave Suite 1 Fort Thomas KY 41075-4106 | |
| (859) 781-0431 | |
| (859) 781-0473 |
| Full Name | J.m. Petit, M.d. P.s.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
| Location | 20 N Grand Ave, Fort Thomas, Kentucky |
| Authorized Official Name and Position | James Michael Petit (OWNER) |
| Authorized Official Contact | 8597810431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J.m. Petit, M.d. P.s.c. 20 N Grand Ave Suite 1 Fort Thomas KY 41075-4106 Ph: (859) 781-0431 | J.m. Petit, M.d. P.s.c. 20 N Grand Ave Suite 1 Fort Thomas KY 41075-4106 Ph: (859) 781-0431 |
| NPI Number | 1508168436 |
|---|---|
| Provider Enumeration Date | 11/29/2010 |
| Last Update Date | 11/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508168436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
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