KENT MICHAEL PATRICK MD NPI 1134280324

NPI Information

NPI: 1134280324
Provider Name: KENT MICHAEL PATRICK, MD
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Individual

Specialization: Orthopaedic Surgery of the Spine

Address:
717 S STATE ST
SUITE 900
FAIRMONT, MN
ZIP 56031
Phone: (507) 238-4949
Get Directions

Kent Michael Patrick, MD is an orthopaedic surgery of the spine orthopaedic surgery in Fairmont, MN. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. Kent Michael Patrick, MD NPI is 1134280324. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

717 S STATE ST
SUITE 900
FAIRMONT, MN
ZIP 56031-469
Phone: (507) 238-4949
Fax: (507) 238-3377

The enumeration date for this NPI number is 12/12/2006 and was last updated on 1/30/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207X00000X	Orthopaedic Surgery		C041516	CALIFORNIA	No
2	207XS0117X	Orthopaedic Surgery	Orthopaedic Surgery of the Spine	103500	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00C415160	MEDICAID	CALIFORNIA
2	A37619	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
3	154N4PA	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD
4	A37619	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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