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NPI Code Detail

MEDICARE: KANDY PATTON NP

MEDICARE:   KANDY  PATTON  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LN0000XNeonatal Nurse Practitioner104204800AL

General Provider Information

NPI Number : 1255282778
Entity Type Code : Individual
Provider Name (Legal Business Name) : KANDY PATTON NP
Provider Business Mailing Address
First Line : 109 KATLYN DR
Second Line :
City : SYLACAUGA
State : AL
Zip : 35150-8410
Country : US
Telephone Number : 256-626-0293
Fax Number :
Provider Business Practice Location Address
First Line : 3690 GRANDVIEW PKWY
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35243-3326
Country : US
Telephone Number : 205-971-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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