Individual
MR. KEVIN J. PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-2037
(570) 271-6389
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA001455L
PA
363AM0700X
Medical Physician Assistant
19256
NY
Other
Enumeration date
04/20/2006
Last updated
06/29/2023
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