Provider Demographics
NPI:1992743785
Name:PATTERSON, KIMBERLEY V (MD)
Entity type:Individual
Prefix:
First Name:KIMBERLEY
Middle Name:V
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 160105
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36616
Mailing Address - Country:US
Mailing Address - Phone:251-460-5288
Mailing Address - Fax:251-460-5225
Practice Address - Street 1:100 MEMORIAL HOSPITAL DR.
Practice Address - Street 2:SUITE 1D
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608
Practice Address - Country:US
Practice Address - Phone:251-460-5288
Practice Address - Fax:251-460-5225
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15413207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology