Individual
KATHRYN A PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
640 E CHERRY ST, SPRINGFIELD, MO 65897-2203
(417) 837-2270
(417) 837-2271
Mailing address
640 E CHERRY ST, SPRINGFIELD, MO 65897-3402
(417) 837-2270
(417) 837-2271
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
098170
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177818758
—
AR
05
—
1861660870
—
MO
01
—
431560263
TRICARE WEST
—
01
—
P00724812
RAILROAD MEDICARE
MO
Enumeration date
02/12/2008
Last updated
03/18/2019
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