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

Kiesha E Pettine

Individual provider Prosthetic/Orthotic Supplier · NPI 1316621717

Kiesha E Pettine is a Prosthetic/Orthotic Supplier in St Petersburg, Florida. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

7901 4th St N Ste 15235
St Petersburg, FL 33702-4305
Phone: (727) 304-4705
Show map & directions

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

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1316621717
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 14, 2023
Last updated in NPPESJuly 9, 2023
Certification dateJuly 9, 2023

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