Patterson, Kenneth Russell

Patterson, Kenneth Russell is an sole proprietor health care provider with primary practice located at 4700 Lv Blvd. N. , Nellis Afb NV 89191-6601. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Patterson, Kenneth Russell can be contacted via phone (702) 653-2344.

Contact Information

Primary practice address
4700 Lv Blvd. N. Nellis Afb NV 89191-6601
Phone: (702) 653-2344
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 20090 California
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1659445971
LBN Legal business name Patterson, Kenneth Russell
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2006
Last updated Aug 8th, 2023 - about 2 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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