Provider Demographics
NPI:1710900444
Name:SWINEY, PATRICIA (MD)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:SWINEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 HIGH ST. STE 209
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:KY
Mailing Address - Zip Code:40361
Mailing Address - Country:US
Mailing Address - Phone:859-340-4627
Mailing Address - Fax:859-340-4629
Practice Address - Street 1:525 HIGH ST STE 209
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:KY
Practice Address - Zip Code:40361-1849
Practice Address - Country:US
Practice Address - Phone:859-340-4627
Practice Address - Fax:859-340-4629
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY25963207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64259633Medicaid
KYP00224260OtherRR-MEDICARE
KY000000359565OtherANTHEM
KY000000359565OtherANTHEM
KYC78511Medicare UPIN