Individual
MR. KEITH MARTIN PATTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1 CHILDRENS PL, DEPT OTOLARYNGOLOGY, STE 3S, SAINT LOUIS, MO 63110-1002
(314) 454-6162
(314) 454-2174
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 454-6162
(314) 454-2174
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2018024330
MO
363LF0000X
Family Nurse Practitioner
Primary
2018024330
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420060116
—
MO
Enumeration date
07/16/2018
Last updated
07/15/2025
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