Individual
DAVID RYAN PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
250 GRANDVIEW DR STE 575, FORT MITCHELL, KY 41017-5641
(859) 486-2810
Mailing address
250 GRANDVIEW DR STE 575, FORT MITCHELL, KY 41017-5641
(859) 486-2810
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1015119
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4018618
KY
Other
Enumeration date
08/10/2023
Last updated
06/12/2024
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