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Dr. Kenneth A Pettine, MD
Orthopedic Surgery of the Spine Physician in Johnstown, Colorado
NPI 1720069198

Kenneth A Pettine is a Orthopedic Surgery of the Spine Physician based in Johnstown, CO and is specialized in Orthopedic Surgery of the Spine. Kenneth A Pettine practices in Johnstown, CO and has the professional credentials of MD. The NPI Number for Kenneth A Pettine is 1720069198 and holds a License No. 29524 (Colorado).

The current practice location address for Kenneth A Pettine is 4795 Larimer Parkway, Johnstown, CO and can be reached out via phone at 970-669-8881 and via fax at 970-669-4200.

Location: 4795 Larimer Parkway, Johnstown, CO, 80534
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720069198
Provider Name
Kenneth A Pettine
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4795 Larimer Parkway, Johnstown, CO, 80534
Phone Number
970-669-8881
Fax Number
970-669-4200
Provider Enumeration Date
11/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01295245 05 CO
institution
Provider Business Practice Location Address Details
Address
4795 Larimer Parkway
City
Johnstown
State
Colorado
Zip
80534
Phone Number
970-669-8881
Fax Number
970-669-4200
person
Provider Business Mailing Address Details
Address
4795 Larimer Parkway
City
Johnstown
State
Colorado
Zip
80534
Phone Number
970-669-8881
Fax Number
970-669-4200
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Orthopedic Surgery of the Spine
Taxonomy
207XS0117X
License No.
29524 (Colorado)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, orthopedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
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