Healthcare Provider Details

I. General information

NPI: 1053601625
Provider Name (Legal Business Name): KAY LEE PATTERSON-ASHBY BMD, NAMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2011
Last Update Date: 04/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3096 I-70 BUSINESS LOOP
GRAND JUNCTION CO
81504-5774
US

IV. Provider business mailing address

2030 N 26TH ST
GRAND JUNCTION CO
81501-6826
US

V. Phone/Fax

Practice location:
  • Phone: 970-434-8500
  • Fax:
Mailing address:
  • Phone: 970-812-6974
  • Fax: 970-434-8500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberELECTRICACUPUNCTURIT
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code173C00000X
TaxonomyReflexologist
License NumberNA
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNONE NEEDED
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code175M00000X
TaxonomyLay Midwife
License NumberNA
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: