MR. KENNETH RUSSELL PATTERSON (PA-C) – Medical Physician Assistant, NPI 1659445971

Medical Physician Assistant

MR. KENNETH RUSSELL PATTERSON (PA-C) is a healthcare provider. based in Nellis afb, Nevada. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 20090 (CA). The NPI Number for MR. KENNETH RUSSELL PATTERSON (PA-C) is 1659445971

Main info

Male

Sole Proprietor

Name

MR. KENNETH RUSSELL PATTERSON (PA-C)

NPI

1659445971

Phone

(702) 653-2344

Address

4700 LV BLVD. N.

Enumeration Date

20 November 2006

Last Update Date

8 August 2023

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience67

Completeness75

Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MR. KENNETH RUSSELL PATTERSON (PA-C)

Nellis Air Force Base, North Las Vegas Boulevard, Nellis Air Force Base, Clark County, Nevada, 89191, United States
NELLIS AFB, NV 891916601
Phone: (702) 653-2344
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-11-11

PECOS data refreshed: 2026-05-27

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89191)

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Reviews

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Frequently asked questions

What number should I use to identify MR. KENNETH RUSSELL PATTERSON (PA-C) for billing?

Administrative and clinical systems typically use NPI 1659445971 for MR. KENNETH RUSSELL PATTERSON (PA-C).

Is MR. KENNETH RUSSELL PATTERSON (PA-C) currently accepting referrals based on NPI status?

Registry metadata lists MR. KENNETH RUSSELL PATTERSON (PA-C) as active.

What services align with MR. KENNETH RUSSELL PATTERSON (PA-C)'s listing?

MR. KENNETH RUSSELL PATTERSON (PA-C)'s public classification highlights Medical Physician Assistant. Clinical services aligned with this taxonomy classification.

Can patients visit MR. KENNETH RUSSELL PATTERSON (PA-C) in Nellis Afb, Nevada?

For routing, start with Nellis Afb, Nevada for MR. KENNETH RUSSELL PATTERSON (PA-C), then verify phone and hours locally.

Who maintains MR. KENNETH RUSSELL PATTERSON (PA-C)'s record?

Providers certify NPPES data; CMS hosts the public file you are viewing.