Provider Demographics
NPI:1053601625
Name:PATTERSON-ASHBY, KAY LEE (BMD, NAMD)
Entity type:Individual
Prefix:
First Name:KAY
Middle Name:LEE
Last Name:PATTERSON-ASHBY
Suffix:
Gender:F
Credentials:BMD, NAMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 N 26TH ST
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-6826
Mailing Address - Country:US
Mailing Address - Phone:970-812-6974
Mailing Address - Fax:970-434-8500
Practice Address - Street 1:3096 I-70 BUSINESS LOOP
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81504-5774
Practice Address - Country:US
Practice Address - Phone:970-434-8500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-15
Last Update Date:2011-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COELECTRICACUPUNCTURIT171100000X
CONA173C00000X
CONONE NEEDED175F00000X
NA175M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist
No173C00000XOther Service ProvidersReflexologist
No175M00000XOther Service ProvidersMidwife, Lay