Individual
JOSHUA THADDEUS PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
900 HOSPITAL DR, MADISONVILLE, KY 42431-1644
(270) 825-5100
Mailing address
1006 SOLLEY DR, NASHVILLE, TN 37216-1317
(615) 720-0848
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3011303
KY
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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