Provider Demographics
NPI:1841814423
Name:COUNTS, PATRICK HOWARD (PA-C)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:HOWARD
Last Name:COUNTS
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7079 PUTTERS PT
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41005-6542
Mailing Address - Country:US
Mailing Address - Phone:859-992-6895
Mailing Address - Fax:
Practice Address - Street 1:7370 TURFWAY RD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-4895
Practice Address - Country:US
Practice Address - Phone:859-757-4446
Practice Address - Fax:859-344-1999
Is Sole Proprietor?:No
Enumeration Date:2020-05-30
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN10003518A363A00000X
KYTC004363A00000X
390200000X
KYPA2729363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program