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:
Health care specialties
Specialty | Code | License # | 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 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376589093 | NPPES |
Tennessee | Other | 4079531 | BLUE CROSS |
Tennessee | MEDICAID | 64046832 | BLUE CROSS |
Tennessee | MEDICAID | 5440405 | BLUE CROSS |
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