Patton, Travis

Patton, Travis is an individual health care provider with primary practice located at 444 Clinchfield St Ste 103 , Kingsport TN 37660-3859. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Patton, Travis can be contacted via phone (423) 578-1518.

Contact Information

Primary practice address
444 Clinchfield St Ste 103 Kingsport TN 37660-3859
Phone: (423) 578-1518
Fax: (423) 230-6349
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110004732 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0110004732 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 4597 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 4597 Tennessee

Profile Details

NPI number 1174924922
LBN Legal business name Patton, Travis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2014
Last updated Sep 22nd, 2021 - about 5 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 1174924922 NPPES
Virginia MEDICAID 1174924922
Virginia MEDICAID Q031354
Virginia Other P01552889

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