Patterson, Kelly Butler

Patterson, Kelly Butler is an individual health care provider with primary practice located at 2018 W Clinch Ave , Knoxville TN 37916-2301. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Patterson, Kelly Butler can be contacted via phone (865) 541-8000.

Contact Information

Primary practice address
2018 W Clinch Ave Knoxville TN 37916-2301
Phone: (865) 541-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD34587 Tennessee
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X MD34587 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD0000034587 Tennessee

Profile Details

NPI number 1376589093
LBN Legal business name Patterson, Kelly Butler
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated May 10th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376589093 NPPES
Tennessee Other 4079531 BLUE CROSS
Tennessee MEDICAID 64046832 BLUE CROSS
Tennessee MEDICAID 5440405 BLUE CROSS

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