Search › New York › 235Z00000X
Kimberly Pettis, M.S.CCC-SLP
NPI 1689739914 · on the registry since 2006
Practice
- Address
- 200 Belle Terre Rd
Port Jefferson, NY 11777 - Phone
- (631) 474-6263
- Organisation at this address
- David Anschel Md Pc
Joseh P Boglia Md Pc
Brian Mayrsohn Md Pllc
St Charles Hospital Corp
St Charles Hospital CorpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 147
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York