Healthcare Provider Details

I. General information

NPI: 1962332155
Provider Name (Legal Business Name): KADY RYANNE PATTERSON AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 BROAD ST
MILFORD CT
06460-4728
US

IV. Provider business mailing address

850 N MAIN STREET EXT STE 1C
WALLINGFORD CT
06492-2487
US

V. Phone/Fax

Practice location:
  • Phone: 203-876-2266
  • Fax: 203-882-9640
Mailing address:
  • Phone: 203-741-9943
  • Fax: 203-741-9167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number839
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number839
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: