=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780399089
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PATON & ASSOCIATES PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/20/2023
-----------------------------------------------------
Last Update Date | 10/28/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3650 S POINTE CIR STE 112
-----------------------------------------------------
City | LAUGHLIN
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89029-0422
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 725-203-2810
-----------------------------------------------------
Fax | 725-204-0138
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3650 S POINTE CIR STE 112
-----------------------------------------------------
City | LAUGHLIN
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89029-0422
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 725-203-2810
-----------------------------------------------------
Fax | 725-204-0138
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PROVIDER
-----------------------------------------------------
Name | KENNETH MMAC PATON
-----------------------------------------------------
Credential | PA-C
-----------------------------------------------------
Telephone | 725-203-2810
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0850X
-----------------------------------------------------
Taxonomy Name | Adult Mental Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 261QM0855X
-----------------------------------------------------
Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------