Patrick, Kenneth Michael
Patrick, Kenneth Michael is an individual health care provider with primary practice located at 1024 Lemay Ave , Ft Collins CO 80524-3913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Patrick, Kenneth Michael can be contacted via phone (800) 553-4924.Contact Information
Primary practice address
1024 Lemay Ave
Ft Collins CO 80524-3913
Phone: (800) 553-4924
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 44174 | Colorado |
Profile Details
| NPI number | 1639119845 |
|---|---|
| LBN Legal business name | Patrick, Kenneth Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Feb 24th, 2011 - about 15 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 | 1639119845 | NPPES |
| Colorado | Other | P00394962 | RAILROAD MEDICARE |
| Colorado | MEDICAID | 123463300 | RAILROAD MEDICARE |
| Colorado | MEDICAID | 64435865 | RAILROAD MEDICARE |
| Colorado | Other | S5008 | RAILROAD MEDICARE |
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