Individual
KATELYN PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1718 E 4TH ST STE 807, CHARLOTTE, NC 28204-3280
(980) 488-9630
Mailing address
2505 VETERAN LN APT 3320, CHARLOTTE, NC 28205-1985
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
373486
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NC
Other
Enumeration date
10/03/2025
Last updated
04/10/2026
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