Individual
CARLY PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2861 NE INDEPENDENCE AVE STE 201, LEES SUMMIT, MO 64064-2379
(816) 525-2840
(816) 525-2841
Mailing address
2861 NE INDEPENDENCE AVE STE 201, LEES SUMMIT, MO 64064-2379
(816) 525-2840
(816) 525-2841
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1502351
KS
363A00000X
Physician Assistant
Primary
2020027179
MO
Other
Enumeration date
07/01/2020
Last updated
06/18/2024
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