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Kelly Pettit, MD
NPI 1659454544 · Emergency Medicine Physician · Redmond, OR
Kelly Pettit, MD is a Emergency Medicine Physician provider in Redmond, OR (NPI 1659454544).
Provider details
- NPI number
- 1659454544
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD2006-0194 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1253 Nw Canal Blvd
Redmond, OR 97756-1334
Phone: (541) 548-8131
Fax: (541) 526-6608
Street-level locationGet directions
Mailing address
275 E 200 S
Salt Lake City, UT 84111-2002
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 2022-07-01
- Certified
- 2022-07-01
Frequently asked questions
- What is Kelly Pettit's NPI number?
- Kelly Pettit's National Provider Identifier (NPI) is 1659454544, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Pettit's specialty?
- Kelly Pettit is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kelly Pettit located?
- Kelly Pettit's practice location on file with NPPES is 1253 Nw Canal Blvd, Redmond, OR 97756-1334.
- What is Kelly Pettit's phone number?
- The practice phone number listed in the NPPES registry for Kelly Pettit is (541) 548-8131.
- Is Kelly Pettit's NPI active?
- Yes — Kelly Pettit's NPI (1659454544) is active in the NPPES registry as of the last update on 2022-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.