Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kenneth Lee Pettit, DO

Individual provider Family Medicine Physician · NPI 1447296298

Dr. Kenneth Lee Pettit, DO is a General Practice in Las Vegas, Nevada. Graduated from College of Osteo Med of the Pacific at Pomona in 1997, 29 years ago. Works from 2 locations. Licensed in Arizona, Hawaii and Nevada.

Years since qualifying
29
Trained at
College of Osteo Med of the Pacific at Pomona
Licensed in
AZ, HI, NV
In the registry since
2006
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2720 N Tenaya Way
Las Vegas, NV 89128-0424
Phone: (702) 671-1111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 40 S Kyrene Rd Ste 1, Chandler, AZ 85226-4675 — (480) 706-0174

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO2065 (NV)
Family Medicine Physician Taxonomy 207Q00000X · Licence 3144 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence E07166 (HI)
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Taxonomy 2083P0011X · Licence 3144 (AZ)

Record details

NPI number1447296298
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 21, 2006
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolCOLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Not indicated
Practice locations6 on file with Medicare

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