Individual
MR. GERALD E PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
286 US HIGHWAY 23 N, SUITE 102, PRESTONSBURG, KY 41653-8732
(606) 874-0032
(606) 874-0064
Mailing address
2465 WOODFIELD CIR, LEXINGTON, KY 40515-1224
(859) 272-7573
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA406
KY
363AM0700X
Medical Physician Assistant
Primary
PA406
KY
363AS0400X
Surgical Physician Assistant
PA406
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95002226
—
KY
Enumeration date
01/04/2006
Last updated
05/12/2021
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