Healthcare Provider Details

I. General information

NPI: 1881522050
Provider Name (Legal Business Name): KYLE MATHEW PATTEN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 E BLUE HILL RD
BLUE HILL ME
04614-5312
US

IV. Provider business mailing address

33 VINEYARD WAY
BELMONT NH
03220-3330
US

V. Phone/Fax

Practice location:
  • Phone: 207-374-2186
  • Fax:
Mailing address:
  • Phone: 603-455-5685
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCR3191
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: