IndividualActive
Kenneth Pettine, M.D.
NPI 1720069198 · Orthopaedic Surgery of the Spine Physician · Johnstown, CO
Provider details
- NPI number
- 1720069198
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 29524 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4795 Larimer Parkway
Johnstown, CO 80534
Phone: (970) 669-8881
Fax: (970) 669-4200
Approximate (ZIP-level) locationGet directions
Mailing address
4795 Larimer Parkway
Johnstown, CO 80534
Registry dates
- Enumerated
- 2005-11-10
- Last updated
- 2015-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.