Payne, Holly Kathleen

Payne, Holly Kathleen is an individual health care provider with primary practice located at 1585 3Rd St Bldg 285 , Fort Polk LA 71459-5102. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Payne, Holly Kathleen can be contacted via phone (337) 531-4062.

Contact Information

Primary practice address
1585 3Rd St Bldg 285 Fort Polk LA 71459-5102
Phone: (337) 531-4062
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X 01074420A Indiana
Allopathic & Osteopathic Physicians / General Practice 208D00000X 01074420A Indiana

Profile Details

NPI number 1669811873
LBN Legal business name Payne, Holly Kathleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2013
Last updated Sep 3rd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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