Individual
KERRY BLAINE PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
9501 FARRELL RD, BLDG 808, FORT BELVOIR, VA 22060-5901
(703) 805-8312
Mailing address
4719 HANRAHAN PL, ALEXANDRIA, VA 22309-4528
(703) 780-0322
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
M-5208
ID
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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