Individual
DR. BRADLEY S. PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 JAMES SIMPSON JR WAY, STE 201, COVINGTON, KY 41011-0801
(859) 655-4111
(859) 655-4814
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 655-4111
(859) 655-4815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35.084601
OH
207Q00000X
Family Medicine Physician
Primary
38059
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2494475
—
OH
05
—
7100087040
—
KY
Enumeration date
08/23/2006
Last updated
09/10/2018
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