Healthcare Provider Details

I. General information

NPI: 1871202374
Provider Name (Legal Business Name): PATON & ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2022
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3650 S POINTE CIR STE 112
LAUGHLIN NV
89029-0422
US

IV. Provider business mailing address

6817 S EASTERN AVE STE 102
LAS VEGAS NV
89119-4684
US

V. Phone/Fax

Practice location:
  • Phone: 725-203-2810
  • Fax: 725-204-0138
Mailing address:
  • Phone: 702-373-5299
  • Fax: 702-817-7260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084P2900X
TaxonomyPain Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: KENNETH MAC PATON
Title or Position: OWNER
Credential: PA-C
Phone: 725-203-2810