Individual
KENNETH PAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
245 COUNTY ROAD 182A, BAY SPRINGS, MS 39422-9694
(601) 433-9806
(334) 690-1212
Mailing address
245 COUNTY ROAD 182A, BAY SPRINGS, MS 39422-9694
(601) 433-9806
(334) 690-1212
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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