MEDICARE: KENNETH MAC PATON

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	363A00000X	Physician Assistant
2	208VP0000X	Pain Medicine Physician	PA2628	NV
3	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician	PA2628	NV
4	2084P0800X	Psychiatry Physician	PA2628	NV
5	2084P0802X	Addiction Psychiatry Physician	PA2628	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578215711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNETH MAC PATON

Provider Business Mailing Address
First Line	:	3650 S POINTE CIR STE 112
Second Line	:
City	:	LAUGHLIN
State	:	NV
Zip	:	89029-0422
Country	:	US
Telephone Number	:	725-203-2810
Fax Number	:	725-204-0138

Provider Business Practice Location Address
First Line	:	3650 S POINTE CIR STE 112
Second Line	:
City	:	LAUGHLIN
State	:	NV
Zip	:	89029-0422
Country	:	US
Telephone Number	:	725-203-2810
Fax Number	:

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

Provider Enumeration Date	:	01/19/2022
Last Update Date	:	05/20/2025

Similar Medicare Providers

1811394760 — AMARIS BELL
Practice Location Address:

3650 SOUTH POINTE CIR STE 112
LAUGHLIN, NV
89029-0422

Practice Phone: 725-203-2810
Practice Fax: 725-204-0138

1841787405 — MRS. HEATHER NICOLE SMITH BS
Practice Location Address:

3650 SOUTH POINTE CIR STE 109
LAUGHLIN, NV
89029-0422

Practice Phone: 702-299-2017
Practice Fax:

1467941294 — KATERI KATE DANCY
Practice Location Address:

3650 S POINTE CIR STE 109
LAUGHLIN, NV
89029-0422

Practice Phone: 702-299-2017
Practice Fax:

1346871050 — MYERS LIFE COACHING LLC
Practice Location Address:

3650 S POINTE CIR STE 113
LAUGHLIN, NV
89029-0422

Practice Phone: 702-803-9392
Practice Fax: 877-289-3606

1871202374 — PATON & ASSOCIATES PLLC
Practice Location Address:

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

Practice Phone: 725-203-2810
Practice Fax: 725-204-0138

1780399089 — PATON & ASSOCIATES PLLC
Practice Location Address:

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

Practice Phone: 725-203-2810
Practice Fax: 725-204-0138

Directions to “ KENNETH MAC PATON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.