Individual
PATRICIA L GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, BSN
Contact information
Practice address
401 E CHESTNUT ST, SUITE 410, LOUISVILLE, KY 40202-5700
(502) 271-5999
(502) 271-5994
Mailing address
550 S JACKSON ST FL ST2, DEPT OB/GYN ATT: VICKI MASTERSON, LOUISVILLE, KY 40202-1622
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2238P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000045421
ANTHEM PSC
KY
01
—
000000542620
ANTHEM FOUNDATIN
KY
05
—
200410210
—
IN
01
—
50012467
PASSPORT-SPECIALTY PSC
KY
01
—
50012469
PASSPORT-SPECIALITY FOUNDATION
KY
01
—
50012470
PASSPORT- PCP FOUNDATION
KY
05
—
78017274
—
KY
Enumeration date
07/05/2006
Last updated
09/29/2008
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