Individual
NAOMI PHAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
650 JOEL DRIVE, PODIATRY CLINIC, FORT CAMPBELL, KY 42223
(270) 798-8638
Mailing address
650 JOEL DRIVE, PODIATRY CLINIC, FORT CAMPBELL, KY 42223
(702) 798-8638
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
01395
MD
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
01395
MD
Other
Enumeration date
10/25/2005
Last updated
09/10/2023
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