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

Dr. Kevin Pettus, MD

Individual provider Legal Medicine · NPI 1679641609

Dr. Kevin Pettus, MD is a Family Practice in Lancaster, Kentucky. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2000, 26 years ago. Practices with Commonhealth LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Indiana and Kentucky.

Years since qualifying
26
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
IN, KY
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

7786 Lexington Rd
Lancaster, KY 40444-9119
Phone: (859) 548-4114
Fax: (859) 548-2718
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 41148 (KY)
Legal Medicine Taxonomy 173000000X · Licence 41148 (KY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 01056257A (IN)

Record details

NPI number1679641609
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 30, 2006
Last updated in NPPESJuly 31, 2009

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2000 (26 years in practice)
Group practice Commonhealth Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount