Individual
PEYTON PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 GARDINER LN, LOUISVILLE, KY 40205-2962
(502) 413-8640
Mailing address
115 SUBLIMITY HOLLOW RD, GIRDLER, KY 40943-6411
(606) 545-8105
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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