Individual
KURT PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 N ILLINOIS ST STE 110, INDIANAPOLIS, IN 46204-4293
(317) 948-6161
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01051566
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200308570
—
IN
Enumeration date
04/27/2006
Last updated
12/23/2020
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