Individual
DR. KELLY BUTLER PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2018 W CLINCH AVE, KNOXVILLE, TN 37916-2301
(865) 541-8000
Mailing address
7023 LAWFORD RD, KNOXVILLE, TN 37919-7459
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD0000034587
TN
208000000X
Pediatrics Physician
MD34587
TN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
MD34587
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4079531
BLUE CROSS
TN
05
—
5440405
—
TN
05
—
64046832
—
KY
Enumeration date
06/21/2006
Last updated
05/10/2015
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