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Gerald E Payne, PA-C

Physician Assistant, Medical in Prestonsburg, KY. Individual provider (NPI-1).

NPI number1790763449
StatusActive
Last updated in NPPESMay 12, 2021

Details

NPI
1790763449
Entity type
Individual (NPI-1)
Name
Mr. Gerald E Payne
Credential
PA-C
Sex
Male
Sole proprietor
No
Enumeration date
Jan 4, 2006
Certification date
May 12, 2021
Last updated
May 12, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, MedicalPA406KYYes
363A00000X Physician AssistantPA406KY
363AS0400X Physician Assistant, SurgicalPA406–

Other names

  • Gerry Payne (Professional Name)

Practice location

286 Us Highway 23 N
Suite 102
Prestonsburg, KY 41653-8732

Phone 606-874-0032 · Fax 606-874-0064

Mailing address

2465 Woodfield Cir
Lexington, KY 40515-1224

Phone 859-272-7573

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Other Medical Physician Assistant providers in Prestonsburg, KY

All 5 Medical Physician Assistant providers in Prestonsburg · All 3,624 providers in Prestonsburg

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