Provider Demographics
NPI:1154950939
Name:PATTERSON, KAIHEEM D (BSN RN)
Entity type:Individual
Prefix:
First Name:KAIHEEM
Middle Name:D
Last Name:PATTERSON
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Gender:M
Credentials:BSN RN
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Mailing Address - Street 1:70 PERIMETER CTR E APT 1324
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30346-1822
Mailing Address - Country:US
Mailing Address - Phone:347-314-9621
Mailing Address - Fax:
Practice Address - Street 1:1255 HIGHWAY 54 W
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-4526
Practice Address - Country:US
Practice Address - Phone:770-719-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-03
Last Update Date:2024-10-29
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Provider Licenses
StateLicense IDTaxonomies
GARN239075367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered