| J. Kelly Patterson, M.d., P.s.c. | |
|
208 South Main Franklin KY 42134 | |
| (270) 813-2520 | |
| (270) 713-0234 |
| Full Name | J. Kelly Patterson, M.d., P.s.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 208 South Main, Franklin, Kentucky |
| Authorized Official Name and Position | Jack Kelly Patterson (OWNER) |
| Authorized Official Contact | 2705865888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Kelly Patterson, M.d., P.s.c. 208 S Main Po 385 Franklin KY 42134 Ph: (270) 813-2520 | J. Kelly Patterson, M.d., P.s.c. 208 South Main Franklin KY 42134 Ph: (270) 813-2520 |
| NPI Number | 1750582961 |
|---|---|
| Provider Enumeration Date | 05/29/2007 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750582961 | NPI | - | NPPES |
| 64272131 | Medicaid | KY | |
| 65929200 | Medicaid | KY | |
| 110158592 | Other | KY | RAILROAD MEDICARE |
| 000000049404 | Other | KY | ANTHEM BLUE CROSS |
| 000000305382 | Other | KY | PROVIDER NUMBER |
| 18D0712268 | Other | KY | CLIA NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 27213 (Kentucky) | Primary |
Bowling Green-warren County Community Hospital Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1020 S Main St, Franklin, KY 42134 Phone: 270-586-5888 Fax: 270-586-0255 | |
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Larry W Maynard, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1030 Brookhaven Rd, Franklin, KY 42134 Phone: 270-586-1800 Fax: 270-598-4930 | |
Bowling Green-warren County Community Hospital Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1020 S Main St, Franklin, KY 42134 Phone: 270-586-5888 Fax: 270-586-0255 | |
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