Patterson, Kimberly Nicole

Patterson, Kimberly Nicole is an sole proprietor health care provider with primary practice located at 427 N Wendover Rd , Charlotte NC 28211-1064. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Patterson, Kimberly Nicole can be contacted via phone (704) 304-0620.

Contact Information

Primary practice address
427 N Wendover Rd Charlotte NC 28211-1064
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 11537 North Carolina

Profile Details

NPI number 1528280104
LBN Legal business name Patterson, Kimberly Nicole
Credentials OTRL
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2007
Last updated Mar 6th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528280104 NPPES
Virginia MEDICAID 1528280104

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