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KELLY R PETTIT MD
NPI 1659454544
Emergency Medicine in Redmond, OR

Active since October 23, 2006
1253 NW CANAL BLVD, REDMOND, OR 97756(541) 548-8131(541) 526-6608 Get Directions Write a Review

NPPES record last updated: July 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly R Pettit Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY R PETTIT MD (NPI 1659454544) is an individual emergency medicine provider in Redmond, Oregon, licensed in New Mexico (MD2006-0194) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1659454544
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameKELLY R PETTITCredential: MD
Location Address1253 NW CANAL BLVDRedmond, OR 97756-1334
Mailing Address275 E 200 SSalt Lake City, UT 84111-2002 · (800) 366-1884
Phone(541) 548-8131
Fax(541) 526-6608
Sole ProprietorNo
Enumeration DateOctober 23, 2006
Last NPPES UpdateJuly 1, 2022
NPPES CertifiedJuly 1, 2022
✔ NPI 1659454544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NM · MD2006-0194
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1253 NW CANAL BLVD, Redmond, OR 97756
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GLYNDA GAYE CRABTREE MD
Emergency Medicine
1253 NW CANAL BLVD
REDMOND, OR 97756
Deschutes County (541) 548-8131
DR. CLAYTON STANFORD GARTHE M.D.
Emergency Medicine
1253 NW CANAL BLVD
REDMOND, OR 97756
Deschutes County (541) 548-8131
ANDREW STOKES KLEAVELAND MD
Emergency Medicine
1253 NW CANAL BLVD
REDMOND, OR 97756
Deschutes County (541) 548-8131
MINDY LIPSITZ M.D.
Emergency Medicine
1253 NW CANAL BLVD
REDMOND, OR 97756
Deschutes County (541) 548-8131
ANGUS YATMAN NG MD
Emergency Medicine
1253 NW CANAL BLVD
REDMOND, OR 97756
Deschutes County (541) 548-8131
JAKE METOLIUS WAITS D.O.
Emergency Medicine
1253 NW CANAL BLVD
REDMOND, OR 97756
Deschutes County (541) 548-8131
MATTHEW M ESCHELBACH DO
Emergency Medicine
1253 NW CANAL BLVD
REDMOND, OR 97756
Deschutes County (541) 548-8131
CASCADE PROFESSIONAL BUSINESS SERVICE
Internal Medicine (Critical Care Medicine)
1253 NW CANAL BLVD
REDMOND, OR 97756
Deschutes County (541) 526-6556

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Pettit's NPI number?

The NPI number for Kelly Pettit is 1659454544. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Kelly Pettit located?

Kelly Pettit practices at 1253 NW Canal Blvd, Redmond, OR 97756. The listed phone number is (541) 548-8131.

What is Kelly Pettit's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Kelly Pettit was last updated on July 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.