Individual
DR. KENNETH W PATRIC JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
403 MCBRIEN RD, EAST RIDGE, TN 37412-3223
(423) 875-0700
Mailing address
2485 BASKETTE WAY, CHATTANOOGA, TN 37421-7615
(423) 240-4829
(615) 425-4271
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
69243
GA
207Q00000X
Family Medicine Physician
Primary
MD0000027485
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
69243
GEORGIA MEDICAL LICENSE
GA
Enumeration date
06/03/2006
Last updated
05/25/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us