Provider Demographics
NPI:1720858822
Name:PATTEN, SIDNEY (DC)
Entity Type:Individual
Prefix:
First Name:SIDNEY
Middle Name:
Last Name:PATTEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1427 DEARBORN ST
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:KS
Mailing Address - Zip Code:67010-1825
Mailing Address - Country:US
Mailing Address - Phone:316-619-9117
Mailing Address - Fax:
Practice Address - Street 1:1601 STATE ST STE 6
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:KS
Practice Address - Zip Code:67010-2013
Practice Address - Country:US
Practice Address - Phone:316-530-1018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-06178111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor