# KENNETH MAC PATON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1578215711
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | PA2628 | NV | — |
| 2084P0800X | Psychiatry Physician | PA2628 | NV | — |
| 2084P0802X | Addiction Psychiatry Physician | PA2628 | NV | — |
| 208VP0000X | Pain Medicine Physician | PA2628 | NV | — |
| 363A00000X | Physician Assistant | — | NULL | Yes |

## Other

- **Enumeration date:** 01/19/2022
- **Last updated:** 05/20/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 250021801 | — | NV |