Petitt, William Kimball

Petitt, William Kimball is an individual health care provider with primary practice located at 799 E Hampden Ave Ste 400 , Englewood CO 80113-2766. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Petitt, William Kimball can be contacted via phone (303) 789-2663.

Contact Information

Primary practice address
799 E Hampden Ave Ste 400 Englewood CO 80113-2766
Phone: (303) 789-2663
Fax: (303) 788-4871
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA.0001599 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1599 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA.0001599 Colorado

Profile Details

NPI number 1669463055
LBN Legal business name Petitt, William Kimball
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Jan 9th, 2024 - about 11 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669463055 NPPES
Colorado MEDICAID 9000177466

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