MEDICARE: PATON & ASSOCIATES PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1780399089
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATON & ASSOCIATES PLLC

Provider Business Mailing Address
First Line	:	3650 S POINTE CIR STE 112
Second Line	:
City	:	LAUGHLIN
State	:	NV
Zip	:	89029-0422
Country	:	US
Telephone Number	:	725-203-2810
Fax Number	:	725-204-0138

Provider Business Practice Location Address
First Line	:	3650 S POINTE CIR STE 112
Second Line	:
City	:	LAUGHLIN
State	:	NV
Zip	:	89029-0422
Country	:	US
Telephone Number	:	725-203-2810
Fax Number	:	725-204-0138

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	KENNETH MMAC PATON
Credential	:	PA-C
Telephone Number	:	725-203-2810

Provider Enumeration Date	:	01/20/2023
Last Update Date	:	10/28/2023

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