Individual
KELLY H. PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3183 W STATE ST STE 1201, BRISTOL, TN 37620-1713
(423) 764-0987
(423) 764-0717
Mailing address
3183 W STATE ST STE 1201, BRISTOL, TN 37620-1713
(423) 764-0987
(423) 764-0717
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
024171562
VA
363LF0000X
Family Nurse Practitioner
Primary
APN0000018499
TN
Other
Enumeration date
06/19/2014
Last updated
07/24/2023
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