KELLY PATTON


Address: 111 Arrowhead Dr Unit D, Slippery Rock, PA 16057-2631
Phone: 7178628722

KELLY PATTON (NPI# 1013377407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013377407
Entity Type Individual
Full Name KELLY PATTON
Practice Address 111 Arrowhead Dr Unit D
Slippery Rock
PA 16057-2631
Practice Telephone 7178628722
Practice Fax Number 7173261111
Mailing Telephone 7178628722
Mailing Fax Number 7173261111
Enumeration Date 2016-02-29
Last Update Date 2016-02-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332BC3200X Durable Medical Equipment & Medical Supplies
Specialization: Customized Equipment
PA Suppliers

Office Location

Street Address 111 ARROWHEAD DR UNIT D
City SLIPPERY ROCK
State PA
Zip Code 16057-2631

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1134399835 David L Gordley Dds LLC Dentist 211 Grove City Rd, Slippery Rock, PA 16057 2008-03-10
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1831273226 Bonnie J Siple Specialist/Technologist 112 West Gym, Slippery Rock University of Pa, Slippery Rock, PA 16057 2006-10-24
1245292051 Michael Scott Zema Specialist/Technologist Dept. of Exercise and Rehabilitative Sciences, Room 117 West Gym, Slippery Rock, PA 16057 2006-04-05
1871570747 Daniel Ferguson Internal Medicine 621 Kelly Blvd, Slippery Rock, PA 16057 2005-12-30
1386639706 Paul Andrew Cacolice Specialist/Technologist 304 Patterson Hall, Exercise and Rehab Sciences, Slippery Rock University, Slippery Rock, PA 16057 2005-09-12
1417203480 Brent Kanar Dentist 234 South Main Street, Slippery Rock, PA 16057 2012-07-27
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Taxonomy Information

Taxonomy Code 332BC3200X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Customized Equipment

Taxonomy Definition

Definition to come...

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Competitor

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City SLIPPERY ROCK
Zip Code 16057

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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