Kimberly Dean Patterson
Individual provider Active NPI Developmental Therapist · Eminence, KY
NPI 1861355307 · NPPES record last updated Dec 3, 2025
Key facts
- NPI
- 1861355307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- License
- 200101930 (KY)
- Practice address
- 67 Oldham St
Eminence, KY 40019-1337 - Phone
- (502) 321-0299
- NPI assigned
- Dec 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200101930 | KY | MD | Developmental Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist |
222Q00000X | 200101930 | KY | Yes |
Addresses
Primary practice location
67 Oldham St
Eminence, KY 40019-1337
Mailing address
67 Oldham St
Eminence, KY 40019-1337
Other providers in Eminence, KY
- Tim J Lee
- Amy Christine Lochow
- David A Maddox
- Jessica Elaine McAllister
- Park Duvalle Community Health Center, Inc
- Kelli L Puckett
- Tessa D. Marie Puckett
- Allie Roberts
- Patricia Roberts
- Erica Ryan Sparks
All providers in Eminence, KY · Developmental Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.