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NPI Code Detail

MEDICARE: KAYLA LEE ANN PATTERSON PA-C

MEDICARE: KAYLA LEE ANN PATTERSON PA-C
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
1363A00000XPhysician AssistantPA2025-0051NM

General Provider Information

NPI Number : 1801670658
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA LEE ANN PATTERSON PA-C
Provider Business Mailing Address
First Line : 1500 N RENAISSANCE BLVD NE STE C
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87107-7002
Country : US
Telephone Number : 505-266-5565
Fax Number :
Provider Business Practice Location Address
First Line : 1100 CENTRAL AVE SE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87106-4930
Country : US
Telephone Number : 505-841-1125
Fax Number : 505-724-6125
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2023
Last Update Date : 03/10/2026

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Directions to “ KAYLA LEE ANN PATTERSON PA-C” Practice Location

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