Individual
AMY RANAE PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12305 COUNTY ROAD 227, ORONOGO, MO 64855-9381
(417) 525-4262
Mailing address
12305 COUNTY ROAD 227, ORONOGO, MO 64855-9381
(417) 525-4262
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
1702424
KS
174400000X
Specialist
Primary
200602062
MO
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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