Individual
STEPHEN C. PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 HUSTON DR, SHEPHERDSVILLE, KY 40165-7250
(502) 955-7311
(502) 955-9694
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21547
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000350681
ANTHEM / NMA
—
01
—
000052154D
HUMANA / NMA
—
01
—
009119
SIHO / NMA
—
01
—
1110144
PASSPORT / NMA
—
01
—
1193086
CHA / NMA
—
01
—
2436670000
PASSPORT ADVANTAGE / NMA
—
01
—
2560936001
CIGNA / NMA
—
05
—
64215478
—
KY
01
—
P00181554
RAILROAD MEDICARE
KY
Enumeration date
04/18/2006
Last updated
01/20/2021
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