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Nathan Harold Pettit III, MD

Urology in Kansas City, KS. Individual provider (NPI-1).

NPI number1013754282
StatusActive
Last updated in NPPESJun 15, 2025

Details

NPI
1013754282
Entity type
Individual (NPI-1)
Name
Nathan Harold Pettit III
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 13, 2024
Certification date
Jun 15, 2025
Last updated
Jun 15, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology94-12373KSYes

Practice location

3901 Rainbow Blvd # Ms 3016
Kansas City, KS 66160-6977

Phone 501-747-7269

Mailing address

5908 Rockhill Rd
Kansas City, MO 64110-3116

Phone 501-747-7269

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