Individual
SAMUEL KIRK PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1051 LOFTIS BLVD STE 100, NEWPORT NEWS, VA 23606-3069
(757) 873-9400
(757) 873-9420
Mailing address
1051 LOFTIS BLVD STE 100, NEWPORT NEWS, VA 23606-3069
(757) 873-9400
(757) 873-9420
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
4301085153
MI
207RH0003X
Hematology & Oncology Physician
Primary
0101047339
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740366970
—
MI
Enumeration date
10/31/2006
Last updated
03/17/2018
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