Provider Demographics
NPI:1427046630
Name:KARI PATTERSON, M.D. PLC
Entity type:Organization
Organization Name:KARI PATTERSON, M.D. PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARI
Authorized Official - Middle Name:L
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-271-0950
Mailing Address - Street 1:525 N 18TH ST
Mailing Address - Street 2:STE 602
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-4102
Mailing Address - Country:US
Mailing Address - Phone:602-271-0950
Mailing Address - Fax:602-258-1386
Practice Address - Street 1:525 N 18TH ST
Practice Address - Street 2:STE 602
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-4102
Practice Address - Country:US
Practice Address - Phone:602-271-0950
Practice Address - Fax:602-258-1386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-11
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ243832084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty