Individual
MR. KENNETH RUSSELL PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4700 LV BLVD. N., NELLIS AFB, NV 89191-6601
(702) 653-2344
Mailing address
4700 LV BLVD. N., NELLIS AFB, NV 89191-6601
(702) 653-2344
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
20090
CA
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
08/08/2023
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