Organization
BRIAN M PAYNE APRN PSC
Active
Other names
WHITESVILLE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA PHILLIPS (OFFICE MANAGER)
(270) 570-0753
Entity
Organization
Contact information
Practice address
722 W BYERS AVE, OWENSBORO, KY 42303-6330
(270) 926-1650
(270) 926-1671
Mailing address
722 W BYERS AVE, OWENSBORO, KY 42303-6330
(270) 926-1650
(270) 926-1671
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000220259
ANTHEM GROUP
KY
01
—
7026
MEDICARE GROUP
KY
Enumeration date
05/31/2006
Last updated
09/02/2025
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