Individual
MICHAEL S PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
532 N BARDSTOWN RD, MT WASHINGTON, KY 40047
(502) 538-4800
(502) 538-3040
Mailing address
532 N BARDSTOWN RD, PO BOX 67, MT WASHINGTON, KY 40047
(502) 538-4800
(502) 538-3040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34039
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000306485
BCBS
—
01
—
2443395000
PASSPORT ADVANTAGE
—
01
—
50001836
PASSPORT
KY
05
—
64011109
—
KY
01
—
7088131
AETNA
—
01
—
P00080686
RAILROAD MEDICARE
—
Enumeration date
09/05/2006
Last updated
11/14/2011
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