Provider Demographics
NPI:1699755041
Name:DOYLE, PATRICIA KENNEY (PA)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:KENNEY
Last Name:DOYLE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 WESTCHESTER DRIVE
Mailing Address - Street 2:SUITE 850
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7254
Mailing Address - Country:US
Mailing Address - Phone:336-802-2400
Mailing Address - Fax:336-802-2534
Practice Address - Street 1:810 N LINDSAY ST
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-3902
Practice Address - Country:US
Practice Address - Phone:336-802-2060
Practice Address - Fax:336-802-2061
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC02386363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCS65781Medicare UPIN
NC2748102BMedicare ID - Type Unspecified
NC2748102EMedicare PIN
NC2748102FMedicare PIN
NC2748102DMedicare PIN