Individual
THOMAS KELLY PAYNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1320 MAPLEWOOD AVE, RONCEVERTE, WV 24970-8016
(304) 647-6080
Mailing address
312 HEATHERTON DR, COVINGTON, VA 24426-6336
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
100220
WV
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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