Individual
KATHY PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHR
Contact information
Practice address
6208 NE 107TH ST, OKLAHOMA CITY, OK 73151-9351
(405) 796-7288
Mailing address
6208 N. E. 107TH ST., OKLAHOMA CITY, OK 73151-9351
(405) 641-4108
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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