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NPI Code Detail

MEDICARE: MS. KENDRA A PATTON MSW

MEDICARE:  MS. KENDRA A PATTON  MSW
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
11041C0700XClinical Social Worker149012318IL

General Provider Information

NPI Number : 1326190463
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KENDRA A PATTON MSW
Provider Business Mailing Address
First Line : 710 N 8TH ST
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62702-6324
Country : US
Telephone Number : 217-525-1064
Fax Number : 217-525-1651
Provider Business Practice Location Address
First Line : 5220 S 6TH STREET RD
Second Line : SUITE 2400
City : SPRINGFIELD
State : IL
Zip : 62703-5735
Country : US
Telephone Number : 217-757-7700
Fax Number : 217-757-7799
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2007
Last Update Date : 04/13/2011

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Directions to “ MS. KENDRA A PATTON MSW” Practice Location

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