Individual
KATHEY J. PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
316 N BROAD ST, WINDER, GA 30680-2150
(678) 838-1585
Mailing address
PO BOX 724928, ATLANTA, GA 31139-9028
(678) 838-1585
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN050346
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000954313E
—
GA
Enumeration date
12/21/2005
Last updated
08/20/2009
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