DR. KEVIN RICHARD PETT (NPI# 1144671520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144671520 |
| Entity Type | Individual |
| Full Name | DR. KEVIN RICHARD PETT |
| Credential | PHD, DAOM |
| Practice Address |
39 Nw Louisanna Ave. Hawthorn Healing Arts Center Bend OR 97701 |
| Mailing Address |
3062 Nw Kelly Hill Ct Bend OR 97703-7023 |
| Practice Telephone | 5413300334 |
| Mailing Telephone | 7035871244 |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-10-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AC01101 | OR | Other Service Providers |
| Street Address |
39 NW LOUISANNA AVE. HAWTHORN HEALING ARTS CENTER |
| City | BEND |
| State | OR |
| Zip Code | 97701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| 1194190652 | Breann M Flores | Peer Specialist | 1435 Ne 4th St Suite B, Bend, OR 97701 | 2015-12-09 |
| Find all providers in zip 97701 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679185060 | Gillian Richards | Acupuncturist | 2955 N Hwy 97 Ste 101, Bend, OR 97703-7559 | 2020-08-18 |
| 1619510377 | Nlob Inc. | Acupuncturist | 929 Sw Simpson Ave Ste 150, Bend, OR 97702-3599 | 2019-10-24 |
| 1972066157 | Crystal Ann Ford | Acupuncturist | 19550 Amber Meadow Dr Ste 180, Bend, OR 97702-3528 | 2019-04-13 |
| 1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
| 1205335585 | Caroline Y Kim | Acupuncturist | 1633 Nw Vicksburg Ave, Bend, OR 97703-1435 | 2018-02-01 |
| 1912444654 | Hiroki Ide | Acupuncturist | 20 Nw Hood Pl, Bend, OR 97703-2518 | 2017-01-19 |
| 1336683341 | Seed To Tree Natural Medicine | Acupuncturist | 2955 N Highway 97 Ste 200, Bend, OR 97703-7559 | 2016-12-09 |
| 1417329814 | Cassie Mccraw | Acupuncturist | 1569 Sw Nancy Way Ste 2, Bend, OR 97702-3234 | 2015-10-24 |
| 1538538822 | David Andrew Gaines | Acupuncturist | 31 Nw Greeley Ave, Bend, OR 97703-2911 | 2015-09-17 |
| 1568851335 | Your Healing Path, LLC | Acupuncturist | 2275 Ne Doctors Dr Ste 11b, Bend, OR 97701-6324 | 2015-01-16 |
| Find all providers in BEND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.