Individual
KENNETH PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
29 LEWIS AVE, FAIRVIEW HOSPITAL EMERGENCY DEPT, GREAT BARRINGTON, MA 01230-1713
(413) 854-9638
(413) 854-9639
Mailing address
29 LEWIS AVE, FAIRVIEW HOSPITAL EMERGENCY DEPT, GREAT BARRINGTON, MA 01230-1713
(413) 854-9638
(413) 854-9639
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
75740
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA75740
CDPHP
—
Enumeration date
09/01/2006
Last updated
07/08/2007
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