Healthcare Provider Details

I. General information

NPI: 1932119583
Provider Name (Legal Business Name): KEVIN A PIGHETTI D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94 N ELM ST SUITE 203
WESTFIELD MA
01085-1647
US

IV. Provider business mailing address

94 N ELM ST SUITE 203
WESTFIELD MA
01085-1647
US

V. Phone/Fax

Practice location:
  • Phone: 413-568-2300
  • Fax: 413-568-2318
Mailing address:
  • Phone: 413-568-2300
  • Fax: 413-568-2318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2564
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: