Individual
KENNETH MAC PATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3650 S POINTE CIR STE 112, LAUGHLIN, NV 89029-0422
(725) 203-2810
Mailing address
3650 S POINTE CIR STE 112, LAUGHLIN, NV 89029-0422
(725) 203-2810
(725) 204-0138
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
PA2628
NV
2084P0800X
Psychiatry Physician
PA2628
NV
2084P0802X
Addiction Psychiatry Physician
PA2628
NV
208VP0000X
Pain Medicine Physician
PA2628
NV
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250021801
—
NV
Enumeration date
01/19/2022
Last updated
05/20/2025
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