Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH W PATRIC JR., MD
ActiveDR. KENNETH W PATRIC JR., MD is a Family Medicine healthcare provider located in EAST RIDGE, Tennessee. NPI 1366480014 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · EAST RIDGE, TN
Registration Details
- NPI Number
- 1366480014
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 3, 2006 (20.195108422632 yrs)
- Last Updated
- May 25, 2023
- Licenses
-
69243 (GA)MD0000027485 (TN)
Practice Information
- Address
-
403 MCBRIEN RDEAST RIDGE, TN, 374123223Browse TN providers · Browse ZIP 37412
- Phone
- 4238750700
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in EAST RIDGE, TN
| Name | Credential | NPI |
|---|---|---|
| DR. RANDY ROBERT HEISSER | MD | 1689620999 |
| DR. BRUCE ALLEN PENDLEY | MD | 1881634483 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.