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Individual

KENNETH ROBERT PATTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
10500 MONTGOMERY RD, CINCINNATI, OH 45242-4402
(513) 865-1307
(513) 865-1444
Mailing address
1472 SOLUTIONS CTR, CHICAGO, IL 60677-1044
(513) 557-3333
(513) 557-3332

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
07824
OH
207P00000X
Emergency Medicine Physician
OS011029L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00026217401
UNIVERA
NY
05
0018387030006
PA
01
01959219
NY MEDICAL ASSISTANCE
NY
01
1068797
WEST VIRGINIA WORK COMP
WV
01
115099
UNISON
PA
01
1512799
GATEWAY
PA
05
200905480
IN
01
217534
UPMC
PA
01
2246653
OH MEDICAL ASSISTANCE
OH
05
2246653
OH
01
2899000
AETNA
PA
01
423269
BLUE SHIELD
PA
05
7100044510
KY
01
930121722
RR MEDICARE
PA
Enumeration date
07/20/2005
Last updated
07/03/2013
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