Virtumed Az PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VIRTUMED AZ PC

Practice address

40 S Kyrene Rd Ste 1
Chandler, AZ 85226-4675

Phone

(708) 628-2326

Fax

(630) 566-8294

NPI assigned

Oct 28, 2026

Last updated

Oct 28, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenneth L Pettit, DO

Title

Owner

Phone

(708) 628-2326

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1793145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793145600000",
    "number": "1598663742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 N CITYFRONT PLAZA DR STE 2515",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115323",
            "telephone_number": "708-628-2326",
            "fax_number": "630-566-8294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S KYRENE RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852264675",
            "telephone_number": "708-628-2326",
            "fax_number": "630-566-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUMED AZ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-28",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A",
        "authorized_official_last_name": "PETTIT",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-628-2326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.