Kyle Petty, MD

NPI #1104310630 in Evanston, Illinois

Provider Information

NPI Number: 1104310630
Entity Type: Individual
Name: Kyle Petty, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: MD
Enumeration Date: Jun 18, 2018
Last Updated: Dec 28, 2022

Practice Location

Address: 2650 RIDGE AVE.
Address 2: DEPT. OF ANESTHESIA
City: Evanston
State: Illinois
ZIP Code: 60201
Phone: (847) 570-2760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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