Individual provider · Type 1 NPI
Kenneth Russell Patterson, PA-C
Medical Physician Assistant · Nellis Afb, NV
NPI number
1659445971
Active
Practice location
4700 Lv Blvd. N.
Nellis Afb, NV 89191-6601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 20090 (CA) |
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1659445971
Kenneth Russell Patterson, PA-C's National Provider Identifier is 1659445971, issued on Nov 20, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Nellis Afb, NV. The record was last updated on Aug 8, 2023.