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NPI Code Detail

MEDICARE: KIMESHA D PATTERSON

MEDICARE: KIMESHA D PATTERSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerSW071915179WV
21041C0700XClinical Social WorkerP018140NC

General Provider Information

NPI Number : 1528713294
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMESHA D PATTERSON
Provider Business Mailing Address
First Line : 104 NEW STATESIDE DR # 102
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27516-1213
Country : US
Telephone Number : 304-415-2300
Fax Number :
Provider Business Practice Location Address
First Line : 104 NEW STATESIDE DR # 102
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27516-1213
Country : US
Telephone Number : 919-942-2803
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2022
Last Update Date : 01/07/2026

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Directions to “ KIMESHA D PATTERSON ” Practice Location

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