Individual
ROBERTA PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2935 DOLPHIN DR BLDG 21, ELIZABETHTOWN, KY 42701-4111
(270) 737-5921
(270) 982-0829
Mailing address
1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY 40511-1277
(859) 253-1686
(270) 982-0829
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
01
—
61-1010363
FIRST STEPS EARLY INTERVENTION
KY
Enumeration date
09/08/2014
Last updated
07/06/2020
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