Individual
DR. KENNETH J PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 S FLOYD ST STE 300, LOUISVILLE, KY 40202-1837
(502) 629-1515
(502) 629-1545
Mailing address
1104 SHADY LN, LOUISVILLE, KY 40223-2256
(502) 797-9940
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
40305
KY
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
40305
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000641999
ANTHEM- LUIS M. VELASCO, MD & ASSOCIATES
KY
01
—
000052152U
HUMANA- LUIS VELASCO, MD & ASSOCIATES
KY
01
—
110222
SIHO- LUIS M. VELASCO, MD & ASSOC.
KY
05
—
200979140
—
IN
05
—
2691832
—
OH
01
—
3738590
CIGNA- LUIS M. VELASCO, MD & ASSOC.
KY
01
—
3760421000
PASSPORT ADVANTAGE- LUIS M. VELASCO, MD & ASSOC
KY
01
—
50027081
PASSPORT- LUIS M. VELASCO, MD & ASSOC.
KY
05
—
64121569
—
KY
01
—
P00861080
RAILROAD MEDICARE- LUIS M. VELASCO, MD & ASSOC.
KY
Enumeration date
08/31/2006
Last updated
07/22/2024
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