| Doctor Name: | RAYMOND K PATE |
| NPI Number: | 1659692234 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RAYMOND PATE D.O. |
| License Number: | 0116022769 |
| Business Practice Address: | 8726 Us Hwy 42 Florence, KY - 410429625 |
| Business Phone Number: | 8596472900 |
| Business Fax Number: | 8596470140 |
| Mailing Address: | 2300 Chamber Center Dr, Suite 200 LAKESIDE PARK |
| State: | KY |
| Postal Code: | 410171686 |
| Phone Number: | 8596472900 |
| Fax Number: | 8596470140 |
| NPI Enumeration Date: | 06/17/2010 |
| NPI Last Update Date: | 04/27/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | 0116022769 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |