DR. Kenneth W Patric JR., MD

NPI #1366480014 in East Ridge, Tennessee

Provider Information

NPI Number: 1366480014
Entity Type: Individual
Name: DR. Kenneth W Patric JR., MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 3, 2006
Last Updated: May 25, 2023

Practice Location

Address: 403 MCBRIEN RD
City: East Ridge
State: Tennessee
ZIP Code: 37412-3223
Phone: (423) 875-0700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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