Individual
KRISTEN L WALKER-PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
13307 MAGISTERIAL DR, LOUISVILLE, KY 40223-4212
(502) 386-6501
(833) 731-0413
Mailing address
13307 MAGISTERIAL DR, LOUISVILLE, KY 40223-4212
(502) 386-6501
(833) 731-0413
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1076646
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3003075
KY
367500000X
Certified Registered Nurse Anesthetist
NA10134
OH
367500000X
Certified Registered Nurse Anesthetist
RN0000112011
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3632466
—
TN
05
—
74001363
—
KY
Enumeration date
08/22/2005
Last updated
10/04/2021
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