Individual
DR. KAITLYN MARIE PAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1695 E RAINFOREST RD, FAYETTEVILLE, AR 72703-5385
(479) 445-6460
Mailing address
1695 E RAINFOREST RD, FAYETTEVILLE, AR 72703-5385
(479) 445-6460
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
25MA11233000
NJ
208200000X
Plastic Surgery Physician
312382
NY
208200000X
Plastic Surgery Physician
69381
CT
208200000X
Plastic Surgery Physician
Primary
E-15817
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2015
Last updated
02/19/2025
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