Individual
MR. KEVIN PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
51 SAINT JOHNS PARKSIDE ST, BUFFALO, NY 14210-2515
(716) 828-9560
Mailing address
6780 SCOTTSDALE RD, EAST AMHERST, NY 14051-2322
(716) 866-3834
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
013131
NY
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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