DR. KIMBERLY KAY PATTERSON (NPI# 1659415826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659415826 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY KAY PATTERSON |
| Credential | D.D.S. |
| Practice Address |
171 Ashley Ave Charleston SC 29425-5631 |
| Mailing Address |
Po Box 751461 Charlotte NC 28275-1461 |
| Practice Telephone | 8437921414 |
| Mailing Telephone | (843) 792-6200 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2017-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
28 | SC | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
19999 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144866070 | Kimberly Dawn Patterson | Peer Specialist | 9726 E 42nd St Ste 142, Tulsa, OK 74146-3626 | 2019-11-26 |
| 1235780784 | Kimberly Kay Patterson | Pharmacist | 5509 Us-45 Alt S, West Point, MS 39773 | 2019-09-26 |
| 1265986400 | Kimberly Patterson | Nurse Practitioner | 809 Redbud Dr, Greeneville, TN 37743-6141 | 2016-08-04 |
| 1467889865 | Kimberly D Patterson | Counselor | 14144 Mueschke Rd., Cypress, TX 77433 | 2013-09-30 |
| 1265679773 | Kimberly Welch Patterson | Occupational Therapist | 19 Magnolia Dr, Saratoga Springs, NY 12866-5378 | 2009-01-21 |
| 1639340268 | Kimberly Georgeann Patterson | Licensed Practical Nurse | 9727 Rocky Fork Rd, St Louisville, OH 43071-9781 | 2008-03-24 |
| 1528280104 | Kimberly Nicole Patterson | Occupational Therapist | 427 N Wendover Rd, Charlotte, NC 28211-1064 | 2007-05-03 |
| 1972137420 | Kimberly Patterson | Behavior Technician | 751 Camino Plz, Suite A, San Bruno, CA 94066-3401 | 2020-02-24 |
| 1649736877 | Kimberly Kay Patterson | Acupuncturist | 1209 Parkway, Austin, TX 78703-4132 | 2019-02-12 |
| 1154811693 | Kimberly Shannel Patterson | Nurse Practitioner | 418 S King St, Laurinburg, NC 28352-3704 | 2018-05-10 |
| Street Address |
171 ASHLEY AVE |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425-5631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203922 | Nicholas J Pastis Jr. | Internal Medicine | 171 Ashley Ave, Charleston, SC 29425-8900 | 2005-05-24 |
| 1760083745 | Eleta Lazar Donelan | Physician Assistant | 171 Ashley Ave, Charleston, SC 29425-0100 | 2020-11-05 |
| 1285231340 | Bree Romecki | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-0100 | 2020-10-02 |
| 1942812078 | Warren Allen James | Student in an Organized Health Care Education/Training Program | 171 Ashley Ave, Charleston, SC 29425-8908 | 2020-08-19 |
| 1457962060 | Rosmary Ros-demarize | Psychologist | 171 Ashley Ave, Charleston, SC 29425-0100 | 2020-08-17 |
| 1558971390 | Auryelle Ascue | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-8908 | 2020-08-06 |
| 1396361994 | David Gonzalez | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-8911 | 2020-06-19 |
| 1003432592 | Hannah Burrick | Audiologist | 171 Ashley Ave, Charleston, SC 29425-8903 | 2020-06-19 |
| 1528683562 | Kelsey Renee Full | Emergency Medicine | 171 Ashley Ave, Charleston, SC 29425-0100 | 2020-06-16 |
| 1861017949 | Christina Lee | Anesthesiology | 171 Ashley Ave, Charleston, SC 29425-8908 | 2020-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1649892456 | Mary Macrae Lynch | Social Worker | 179 Ashley Avenue, Charleston, SC 29425 | 2020-05-14 |
| 1528600053 | Amanda Watts | Physician Assistant | 135 Rutledge Ave. Msc 561, Charleston, SC 29425 | 2019-10-16 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| 1366001760 | Rayphael Sebastian Hardy | Internal Medicine | 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2019-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1427617950 | Emily Suzanne Nyers | Internal Medicine | 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2019-06-09 |
| 1790343564 | Alan Cowei Peh | Psychiatry & Neurology | 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 | 2019-06-05 |
| Find all providers in zip 29425 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669726048 | Dentistry for Children of South Carolina, PC | Dentist | 808 Wappoo Rd, Charleston, SC 29407 | 2012-11-06 |
| 1346464674 | Cornerstone Children's Dentistry, P.a. | Dentist | 2075-a Charlie Hall Blvd., Charleston, SC 29414-5834 | 2007-04-11 |
| 1760501001 | Tracy L. Wilkerson, Dds, Pllc | Dentist | 1400 Kanawha Blvd E, Charleston, WV 25301-3002 | 2007-03-28 |
| 1902902992 | Erin Lewis Nichols | Dentist | 1721 Oak Point Rd, Charleston, SC 29412-2838 | 2006-09-16 |
| 1104874924 | Howard Peskin | Dentist | 494 Savannah Hwy, Charleston, SC 29407-7275 | 2006-05-04 |
| 1528024460 | Tracy Lynn Wilkerson | Dentist | 1400 Kanawha Boulevard East, Charleston, WV 25301 | 2006-04-20 |
| 1720061005 | Paul A. Galloway | Dentist | 2075 Charlie Hall Blvd, Suite A, Charleston, SC 29414-5834 | 2005-11-21 |
| 1164427795 | Ashley Jane Patnoe | Dentist | 1538b Kanawha Blvd E, Charleston, WV 25311-2413 | 2005-06-20 |
| 1922620871 | Alex Emily Sherman | Dentist | 169 Ashley Ave, Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2020-05-14 |
| 1952783094 | Karen Konomi Wolf | Dentist | 808 Wappoo Rd, Charleston, SC 29407-5865 | 2015-06-25 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29425 |
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| 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.