Individual
MR. THOMAS FREDERICK PAYNE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1110 W ELM ST, CHANUTE, KS 66720-1430
(620) 212-0588
Mailing address
PO BOX 732, CHANUTE, KS 66720-0732
(620) 212-0588
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
13-93470091
KS
367500000X
Certified Registered Nurse Anesthetist
2022038981
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910017262
—
MO
Enumeration date
11/26/2008
Last updated
01/16/2026
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