Kevin Charles Patterson, M.D.
Internal Medicine, Critical Care Medicine in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1457779274
StatusActive
Last updated in NPPESMay 20, 2024
Details
- NPI
- 1457779274
- Entity type
- Individual (NPI-1)
- Name
- Kevin Charles Patterson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2014
- Certification date
- May 20, 2024
- Last updated
- May 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0200X | Internal Medicine, Critical Care Medicine | 4301502023 | MI | Yes |
| 207RP1001X | Internal Medicine, Pulmonary Disease | 4301502023 | MI |
Practice location
4100 Lake Dr Se Ste 200Grand Rapids, MI 49546-8292
Phone 616-267-8244
Mailing address
100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
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