Individual
MRS. CASSANDRA KAY PAYNE-DURBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1520 4TH ST, LEWISPORT, KY 42351-2529
(270) 922-8098
Mailing address
PO BOX 304, LEWISPORT, KY 42351-0304
(270) 922-8098
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1837
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1837
LICENSURE DIETITIAN
KY
Enumeration date
06/27/2012
Last updated
06/27/2016
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