IndividualActive
Benjamin Pettit, AU.D.
NPI 1780137240 · Audiologist · Kirksville, MO
Provider details
- NPI number
- 1780137240
- Entity type
- Individual
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Credential
- AU.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2016026739 (MO)
Practice location
915 S Baltimore St
Kirksville, MO 63501-4027
Phone: (660) 956-9156
Fax: (660) 956-9151
Mailing address
915 S Baltimore St
Kirksville, MO 63501-4027
Registry dates
- Enumerated
- 2016-08-01
- Last updated
- 2016-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.