| Doctor Name: | RONALD EUGENE PETTIT |
| NPI Number: | 1003926015 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CNS |
| License Number: | NS-04758 |
| Business Practice Address: | 17273 State Route 104 Chillicothe, OH - 456018608 |
| Business Phone Number: | 7407731141 |
| Business Fax Number: | |
| Mailing Address: | 17273 State Route 104, CHILLICOTHE |
| State: | OH |
| Postal Code: | 456018608 |
| Phone Number: | 7407731141 |
| Fax Number: | |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | NS-04758 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |