MEDICARE: KAYLEE J PATTON

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
1	231H00000X	Audiologist	A.02200	OH

General Provider Information

NPI Number	:	1386204907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLEE J PATTON

Provider Business Mailing Address
First Line	:	5180 FAWN DR
Second Line	:
City	:	NEW FRANKLIN
State	:	OH
Zip	:	44319-3904
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2800 S ARLINGTON RD STE 102
Second Line	:
City	:	COVENTRY TOWNSHIP
State	:	OH
Zip	:	44312-4702
Country	:	US
Telephone Number	:	330-644-1932
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2019
Last Update Date	:	04/08/2025

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Directions to “ KAYLEE J PATTON ” Practice Location

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