Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth W Patric Jr., MD

Individual provider Family Medicine Physician · NPI 1366480014

Dr. Kenneth W Patric Jr., MD is a Family Medicine Physician in East Ridge, Tennessee. Works from 2 locations. Licensed in Georgia and Tennessee.

Licensed in
GA, TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

403 McBrien Rd
East Ridge, TN 37412-3223
Phone: (423) 875-0700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2009 Old Lafayette Rd, Fort Oglethorpe, GA 30742-3510 — (706) 866-5520

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD0000027485 (TN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 69243 (GA)

Record details

NPI number1366480014
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 3, 2006
Last updated in NPPESMay 25, 2023
Certification dateMay 25, 2023

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