Individual
KELLY PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 S 12TH ST, MURRAY, KY 42071-9303
(270) 767-3116
Mailing address
1000 S 12TH ST, MURRAY, KY 42071-9303
(270) 767-3116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009235
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014026632
AMERICAN NURSES CREDENTIALING CENTER
KY
Enumeration date
02/12/2015
Last updated
10/16/2015
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