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NPI Code Detail

MEDICARE: KIMBERLEY S PATTON M.D.

MEDICARE: KIMBERLEY S PATTON M.D.
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
1207Q00000XFamily Medicine Physician182260NY
2207Q00000XFamily Medicine Physician38761SC

General Provider Information

NPI Number : 1730182577
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLEY S PATTON M.D.
Provider Business Mailing Address
First Line : 1 INDEPENDENCE PT
Second Line : SUITE 212
City : GREENVILLE
State : SC
Zip : 29615-4545
Country : US
Telephone Number : 864-797-6044
Fax Number :
Provider Business Practice Location Address
First Line : 300 SCUFFLETOWN RD
Second Line :
City : SIMPSONVILLE
State : SC
Zip : 29681-7204
Country : US
Telephone Number : 864-329-0029
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 11/05/2015

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Directions to “ KIMBERLEY S PATTON M.D.” Practice Location

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