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Individual

ROBERT A PAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
2801 NEW HARTFORD RD, OWENSBORO, KY 42303-1320
(270) 683-3720
(270) 686-7331
Mailing address
2801 NEW HARTFORD RD, OWENSBORO, KY 42303-1320
(270) 683-3720
(270) 686-7331

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1087636
KY
163W00000X
Registered Nurse
28199081A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
3010647
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201395620
IN
05
7100418340
KY
Enumeration date
07/11/2016
Last updated
11/27/2023
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