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NPI Code Detail

MEDICARE: KIMLYN PATTEN CNM

MEDICARE: KIMLYN PATTEN CNM
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
1176B00000XMidwifeMW008551LPA
2176B00000XMidwifeF0008801NY

General Provider Information

NPI Number : 1972695757
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMLYN PATTEN CNM
Provider Business Mailing Address
First Line : 110 PARK ST
Second Line :
City : HONESDALE
State : PA
Zip : 18431-2023
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 110 PARK ST
Second Line :
City : HONESDALE
State : PA
Zip : 18431-2023
Country : US
Telephone Number : 570-253-3005
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2006
Last Update Date : 07/08/2007

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Directions to “ KIMLYN PATTEN CNM” Practice Location

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