Individual
CHANDRA PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
105 CHAMBLISS DR, HARDINSBURG, KY 40143-2575
(270) 756-2424
(270) 756-2525
Mailing address
105 CHAMBLISS DR, HARDINSBURG, KY 40143-2575
(270) 756-2424
(270) 756-2525
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3651P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200404730
—
IN
05
—
78006988
—
KY
Enumeration date
08/18/2006
Last updated
11/24/2014
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