Individual
KIMBERLY ANN PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPC
Contact information
Practice address
255 W LANCASTER AVE, PAOLI, PA 19301-1763
(484) 565-8162
Mailing address
255 W LANCASTER AVE, PAOLI, PA 19301-1763
(484) 565-8162
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP009021
PA
Other
Enumeration date
08/24/2006
Last updated
07/28/2016
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