Individual
PAYTON YORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-5401
(859) 578-5880
Mailing address
105 HUDSON AVE, LAKESIDE PARK, KY 41017-2105
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4007446
KY
363LF0000X
Family Nurse Practitioner
4007446
KY
Other
Enumeration date
10/06/2023
Last updated
10/12/2023
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