Individual
KATHLEEN R PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
827 S JACKSON ST, OSCEOLA, IA 50213-1666
(641) 342-2128
Mailing address
827 S JACKSON ST, OSCEOLA, IA 50213-1666
(641) 342-2128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A119591
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912314600
—
IA
01
—
P01353136
RR MEDICARE
IA
Enumeration date
07/15/2014
Last updated
10/09/2014
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