Kevin G Pettus
Medical Specialty
Professional ID
- NPI: 1679641609
- PECOS ID: 4385738582
- Enrollment ID: I20070919000343
- Credential(MD, DO, DPM):
- Medical School: University Of Kansas School Of Medicine
- Medical School Graduation Year: 2000
Hospital Service
- Hospital CCN1: 180048
- Business Name (LBN)1: Ephraim Mcdowell Regional Medical Center
- Hospital CCN2: 180011
- Business Name (LBN)2: Saint Joseph London
- Hospital CCN3: 180024
- Business Name (LBN)3: Spring View Hospital
- Hospital CCN4: 180116
- Business Name (LBN)4: Jackson Purchase Medical Center
- Hospital CCN5: 181315
- Business Name (LBN)5: Ephraim Mcdowell Fort Logan Hospital
Medical Practices
- Organization Name: Ea Health Physicians Medical Group National Llc
- Group Practice ID assigned by PECOS: 3173772340
- Number of Group Practice member: 36
Location
- Address1: 200 Abraham Flexner Way
- Address2:
- City: Louisville
- State: Kentucky
- Zip Code: 40202
- Phone Number: (502)283-4011
Medical Practices
- Organization Name: 24 On Physicians Pc
- Group Practice ID assigned by PECOS: 5698688141
- Number of Group Practice member: 360
Location
- Address1: 217 S 3rd St
- Address2:
- City: Danville
- State: Kentucky
- Zip Code: 40422
- Phone Number: (859)239-5008
Medical Practices
- Organization Name: Hospital Medicine Services Of Tennessee Pc
- Group Practice ID assigned by PECOS: 9234432881
- Number of Group Practice member: 204
Location
- Address1: 360 Amsden Ave
- Address2:
- City: Versailles
- State: Kentucky
- Zip Code: 40383
- Phone Number: (859)873-3111
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):