KIMBERLY ANN PETTIT (NPI# 1093789299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093789299 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANN PETTIT |
| Credential | M.D. |
| Practice Address |
98 N 1100 E Suite 301 American Fork UT 84003-2935 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8014922300 |
| Mailing Telephone | 8014922300 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2014-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 01056997A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073642930 | Kimberly E Pettit | Physical Therapy Assistant | 101 Perry Ave, Seneca, SC 29678-3565 | 2007-03-05 |
| Street Address |
98 N 1100 E SUITE 301 |
| City | AMERICAN FORK |
| State | UT |
| Zip Code | 84003-2935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518968387 | Stewart W West | Dermatology | 98 N 1100 E, Suite 301, American Fork, UT 84003-2935 | 2005-08-03 |
| 1720595903 | Tanner Christenson | Physical Therapist | 98 N 1100 E, American Fork, UT 84003-2935 | 2018-01-09 |
| 1598216988 | Louis Andrew Monson | Physical Therapist | 98 N 1100 E, #402, American Fork, UT 84003-2935 | 2016-10-20 |
| 1437532595 | Ihc Health Services Inc | Family Medicine | 98 N 1100 E, Ste 402, American Fork, UT 84003-2935 | 2015-07-07 |
| 1225419542 | Ariel Shirley | Specialist/Technologist | 98 N 1100 E, Ste 103, American Fork, UT 84003-2935 | 2015-06-11 |
| 1437576212 | Ihc Health Services Inc | Preventive Medicine | 98 N 1100 E, American Fork, UT 84003 | 2014-03-18 |
| 1174949002 | Ihc Health Services Inc | Physical Medicine & Rehabilitation | 98 N 1100 E, American Fork, UT 84003 | 2014-03-17 |
| 1689090516 | Ihc Health Services Inc | Dermatology | 98 N 1100 E, American Fork, UT 84003 | 2014-03-17 |
| 1619398021 | Bryan William Lundberg | Physician Assistant | 98 N 1100 E, Suite 302, American Fork, UT 84003-2935 | 2014-01-02 |
| 1598013625 | Adam C Gardner | Physician Assistant | 98 N 1100 E, Suite 203, American Fork, UT 84003-2935 | 2012-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917496 | Centre Health Group | Clinic/Center | 70 West Main, Suite B, American Fork, UT 84003 | 2020-06-19 |
| 1457902553 | Lactation Link | Health Educator | 5524 Sicily Lane, Highland, UT 84003 | 2019-09-20 |
| 1750805511 | Eric Austin Haws | Physical Therapist | 1184 East 80 North, American Fork, UT 84003 | 2017-08-02 |
| 1578914784 | Ofa Moeai | Social Worker | 315 N 900 E, American Fork, UT 84003 | 2016-06-29 |
| 1639585839 | Carmel Ferreira | Acupuncturist | 42 N 200 E Ste 1, American Fork, UT 84003 | 2014-07-08 |
| 1619305869 | Luke Daren Sterger | Counselor | 995 West 1100 North, American Fork, UT 84003 | 2013-10-25 |
| 1356778252 | Reese & Weaver Dds LLC | Optometrist | 11038 N. Highland Blvd, Suite 200, Highland, UT 84003 | 2013-10-09 |
| 1518308444 | A Balanced Life Med Products | Durable Medical Equipment & Medical Supplies | 291 N 300 E Ste. C, American Fork, UT 84003 | 2013-07-08 |
| 1376981274 | Jesse Lucinda James | Family Medicine | 98 B. 1100 E. Suite #102, American Fork, UT 84003 | 2013-06-13 |
| 1922442904 | Premier Family Medical | Family Medicine | 226 N 100 E, Ste A, American Fork, UT 84003 | 2013-04-22 |
| Find all providers in zip 84003 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861861155 | Brent H. Goodsell, Do | Dermatology | 162 S 1100 E, American Fork, UT 84003-2817 | 2015-09-17 |
| 1528172863 | Brent H. Goodsell | Dermatology | 162 S. 1100 E., American Fork, UT 84003 | 2006-08-17 |
| 1518968387 | Stewart W West | Dermatology | 98 N 1100 E, Suite 301, American Fork, UT 84003-2935 | 2005-08-03 |
| 1972952828 | Premier Dermatology | Dermatology | 48 N 1100 E, American Fork, UT 84003-2910 | 2016-06-10 |
| 1689090516 | Ihc Health Services Inc | Dermatology | 98 N 1100 E, American Fork, UT 84003 | 2014-03-17 |
| 1861648644 | Aaron Jacob Peterson | Dermatology | 48 N 1100 E, American Fork, UT 84003-2910 | 2008-08-13 |
| 1225165418 | Ihc Health Services Inc | Dermatology | 1159 E 200 N, Suite 150, American Fork, UT 84003-2022 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245863893 | Central Utah Dermatology | Dermatology | 861 N Main, Richfield, UT 84701 | 2020-02-21 |
| 1548810401 | Smart & Gibbs | Dermatology | 3200 W Clubhouse Dr Ste 100, Lehi, UT 84043-4325 | 2019-09-12 |
| 1043874332 | Waymore Shade LLC | Dermatology | 451 S Main St Ste 1, Springville, UT 84663-2293 | 2019-04-23 |
| 1598261869 | Tuttle Dermatology PC | Dermatology | 617 E Riverside Dr Ste 103, St George, UT 84790-8049 | 2018-04-04 |
| 1770099251 | Ihc Health Services Inc | Dermatology | 395 W Bulldog Blvd Ste 604, Provo, UT 84604-3331 | 2017-12-20 |
| 1417467986 | Red Ledges Dermatology Pllc | Dermatology | 1449 N 1400 W Ste 22, St George, UT 84770-5237 | 2017-10-10 |
| 1649724139 | University of Utah Adult Services | Dermatology | 165 N. University Ave. Farmington, Farmington, UT 84025 | 2016-08-12 |
| 1912316654 | Jeanna Tachiki Ryan | Dermatology | 243 E 6100 S, Murray, UT 84107-7302 | 2014-08-07 |
| 1659785889 | Dana Rice | Dermatology | 6095 S Fashion Blvd Ste 270, Murray, UT 84107-7387 | 2014-06-16 |
| 1548680184 | West Valley Dermatology | Dermatology | 3465 S Pioneer Pkwy, Suite 1, Salt Lake City, UT 84120-2076 | 2014-04-22 |
| Find all providers with the same taxonomy | ||||
| City | AMERICAN FORK |
| Zip Code | 84003 |
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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.