Healthcare Provider Details

I. General information

NPI: 1740614205
Provider Name (Legal Business Name): PATRICK SCOTT ATKINSON D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2013
Last Update Date: 04/19/2023
Certification Date: 04/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2509 CANTERBURY DR
HAYS KS
67601-2233
US

IV. Provider business mailing address

2220 CANTERBURY DR
HAYS KS
67601-2370
US

V. Phone/Fax

Practice location:
  • Phone: 785-623-5095
  • Fax: 785-623-5080
Mailing address:
  • Phone: 785-623-5095
  • Fax: 785-623-5045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number0540308
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0540308
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: